Desmond E Kimbrough I

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

3006 Ember Dr Apt 107B
Decatur, GA 30034-1529

Phone

(330) 398-9689

NPI assigned

Nov 15, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1073388401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 EMBER DR APT 107B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341529",
            "telephone_number": "330-398-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 EMBER DR APT 107B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341529",
            "telephone_number": "330-398-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "DESMOND",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Kim
• Lindsay Kim, M.D., M.P.H.
• Seongae Kim
• Kimberly Bonde Acupuncture, Inc.
• Ashley Devone Kimbrough
• Kindred Healthcare
• Kindred Psychiatric Services
• King Diagnostic Ultrasound Service
• Angela Marie King, LPC
• Breanna Alexis King

• Health Educator in Decatur, GA
• Providers in Decatur, GA by specialty
• Health Educator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.