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Timothy Kimball
Student in an Organized Health Care Education/Training Program in Montgomery Village, Maryland
NPI 1861110330

Timothy Kimball is a Student in an Organized Health Care Education/Training Program based in Montgomery Village, MD. Timothy Kimball practices in Montgomery Village, MD. The NPI Number for Timothy Kimball is 1861110330 and holds a License No. A0881 (Maryland).

The current practice location address for Timothy Kimball is 10100 Little Pond Pl, Montgomery Village, MD and can be reached out via phone at 832-457-2544.

Location: 10100 Little Pond Pl, Montgomery Village, MD, 20886-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861110330
Provider Name
Timothy Kimball
Credential
Provider Entity Type
Individual
Gender
Male
Address
10100 Little Pond Pl, Montgomery Village, MD, 20886-3802
Phone Number
832-457-2544
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10100 Little Pond Pl
City
Montgomery Village
State
Maryland
Zip
20886-3802
Phone Number
832-457-2544
Fax Number
person
Provider Business Mailing Address Details
Address
10100 Little Pond Pl
City
Montgomery Village
State
Maryland
Zip
20886-3802
Phone Number
832-457-2544
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A0881 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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