Joseph L Kimble, DC
Chiropractor in Rockford, IL. Individual provider (NPI-1).
NPI number1376553214
StatusActive
Last updated in NPPESSep 19, 2012
Details
- NPI
- 1376553214
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph L Kimble
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2006
- Last updated
- Sep 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038004084 | IL | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
6905 E State StRockford, IL 61108
Phone 815-397-4142 · Fax 815-397-4144
Mailing address
Po Box 6107Rockford, IL 61125
Phone 815-397-4142 · Fax 875-397-4144
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