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: |