Most Relevant Information
Provider Data
| NPI Number: | 1003292632 |
| Provider Name: | VICKI LYNN KIMBALL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2015 |
| Last Updated: | 08/05/2015 |
Provider Practice Location
249 E CENTER ST
SUITE 301
KALISPELL
MT
599014596
Practice Location Phone/Fax
| Phone: | 4063001369 |
| Fax: |
Provider Mailing Location
249 E CENTER ST
SUITE 301
KALISPELL
MT
599014596
Provider Mailing Phone/Fax
| Phone: | 4063001369 |
| Fax: |