Dr Earl S Kimbell III DO PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3489 Issued in AZ

Legal business name

DR EARL S KIMBELL III DO PC

Practice address

13825 N 7TH St
Suite F
Phoenix, AZ 85022-4342

Phone

(602) 942-6944

Fax

(602) 942-6946

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Earl S Kimbell III, D.O.NPI 1437189305

Title

President Ceo

Phone

(602) 942-6944

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl S Kimbell III, DO

  • Family Medicine Physician
  • Acoma, NM
  • NPI 1437189305
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1417016841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 N 7TH ST",
            "address_2": "SUITE F",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224342",
            "telephone_number": "602-942-6944",
            "fax_number": "602-942-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 N 7TH ST",
            "address_2": "SUITE F",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224342",
            "telephone_number": "602-942-6944",
            "fax_number": "602-942-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EARL S KIMBELL III DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KIMBELL",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "602-942-6944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "3489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.