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Mr. Michael John Kimball, NP
Adult Health Nurse Practitioner in Costa Mesa, California
NPI 1700838646

Michael John Kimball is an Adult Health Nurse Practitioner based in Sacramento, CA and is specialized in Adult Health. Michael John Kimball practices in Costa Mesa, CA and has the professional credentials of NP. The NPI Number for Michael John Kimball is 1700838646 and holds a License No. 523970 (California).

The current practice location address for Michael John Kimball is 2501 Harbor Blvd, Costa Mesa, CA and can be reached out via phone at 714-957-5000.

Location: 2501 Harbor Blvd, Costa Mesa, CA, 95814-6414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700838646
Provider Name
Michael John Kimball
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2501 Harbor Blvd, Costa Mesa, CA, 95814-6414
Phone Number
714-957-5000
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2501 Harbor Blvd
City
Costa Mesa
State
California
Zip
92626-6143
Phone Number
714-957-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Harbor Blvd
City
Costa Mesa
State
California
Zip
92626-6143
Phone Number
714-957-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
523970 (California)
Definition
Definition to come...
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