Roger Girard Kimber Jr., MD

Individual provider Active NPI Family Medicine Physician · New Holland, PA

NPI 1245280304 · NPPES record last updated Oct 15, 2007

Key facts

NPI
1245280304
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD043511E (PA)
Practice address
584 Springville Rd
New Holland, PA 17557-9564
Phone
(717) 354-4711
Fax
(717) 354-8830
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD043511EPAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD043511E PA Yes

Addresses

Primary practice location

584 Springville Rd
New Holland, PA 17557-9564

Mailing address

1013 Tracy Rd
Lancaster, PA 17601-4854
Phone (717) 560-9879

Other providers in New Holland, PA

All providers in New Holland, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.