Provider Demographics
NPI:1154203230
Name:KALIMBA, JOEL KAPUTA
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:KAPUTA
Last Name:KALIMBA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3751 PARADISE HILLS DRIVE
Mailing Address - Street 2:APT 24204
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040
Mailing Address - Country:US
Mailing Address - Phone:469-982-1456
Mailing Address - Fax:
Practice Address - Street 1:3751 PARADISE HILLS DRIVE
Practice Address - Street 2:APT 24204
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040
Practice Address - Country:US
Practice Address - Phone:469-982-1456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program