DR. PAUL CLARK KIMBALL (NPI# 1508467606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508467606 |
| Entity Type | Individual |
| Full Name | DR. PAUL CLARK KIMBALL |
| Credential | PH.D., L.M.T. |
| Practice Address |
3631 Martins Dairy Cir Olney MD 20832-2451 |
| Practice Telephone | 3014558688 |
| Mailing Telephone | 3014558688 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | M05490 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053540724 | Paul Allen Kimball | Optometrist | 217 N Saginaw Rd, Midland, MI 48640-3350 | 2009-07-02 |
| Street Address |
3631 MARTINS DAIRY CIR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
| 1609476209 | Edward Drew Welch | Massage Therapist | 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 | 2020-11-01 |
| 1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
| 1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
| 1316545916 | Chanin D Storm | Massage Therapist | 1719 Woodruff Way, Frederick, MD 21701-2514 | 2020-10-15 |
| 1164020756 | Brighid Rose Satori | Massage Therapist | 8018 Brightwood Ct, Ellicott City, MD 21043-7932 | 2020-10-15 |
| 1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
| 1235736877 | Janthima Sapadith | Massage Therapist | 834 Waterford Dr, Frederick, MD 21702-4088 | 2020-10-06 |
| 1205433372 | Shengchao Qiang | Massage Therapist | 751 Sligo Ave, Silver Spring, MD 20910-4729 | 2020-10-02 |
| 1770190258 | Barbara Bailey | Massage Therapist | 3342 Mondawmin Ave, Baltimore, MD 21216-2319 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.