Daniel B Kimball Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD044565E Issued in PA

Practice address

1303 Orchard Rd
Reading, PA 19611-1437

Phone

(610) 376-0187

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306920863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 ORCHARD RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196111437",
            "telephone_number": "610-376-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 ORCHARD RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196111437",
            "telephone_number": "610-376-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "DANIEL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD044565E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER #",
            "identifier": "KI569686",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidspeace National Centers Inc
• Keith Scott Kiefer, D.M.D.
• Elizabeth Mary Kieffer, LCSW
• Jiyoung Choi Kim, CRNP
• Sarah Kim, LSW
• Kristin Kimma, CRNP, FNP-C
• Brenden King
• Hoi Yee King, R.PH.
• Stevie Nicole Kioske, LCSW
• Hope Kircher

• Internal Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.