Provider Demographics
NPI:1871712273
Name:KIMBALL, ANTHONY EDWARD (DPM)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:EDWARD
Last Name:KIMBALL
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:5656 S POWER RD
Mailing Address - Street 2:SUITE 124
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-5421
Mailing Address - Country:US
Mailing Address - Phone:480-840-3457
Mailing Address - Fax:480-840-3458
Practice Address - Street 1:5656 S POWER RD
Practice Address - Street 2:SUITE 124
Practice Address - City:HIGLEY
Practice Address - State:AZ
Practice Address - Zip Code:85236-5421
Practice Address - Country:US
Practice Address - Phone:480-840-3457
Practice Address - Fax:480-840-3458
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2021-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0655213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery