Bradly Alexander Kimbrough, MD
Internal Medicine, Rheumatology in Waco, TX. Individual provider (NPI-1).
NPI number1861998007
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1861998007
- Entity type
- Individual (NPI-1)
- Name
- Bradly Alexander Kimbrough
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2018
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | U9570 | TX | Yes |
| 207R00000X | Internal Medicine | 29168 | MN | |
| 207RR0500X | Internal Medicine, Rheumatology | 65873 | MN | |
| 207R00000X | Internal Medicine | 65873 | MN |
Practice location
611 W Hwy 6 Ste 101Waco, TX 76710-7545
Phone 254-755-4582 · Fax 254-755-4585
Mailing address
611 W Hwy 6 Ste 101Waco, TX 76710-7545
Phone 254-755-4582
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