Myia Frances Kimble, MA, PHLEBOTOMIST

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

4290 Bells Ferry Rd NW
Kennesaw, GA 30144-7140

Phone

(770) 899-7268

Fax

(770) 828-0646

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kimble Care Medical Services

  • Primary Care Clinic/Center
  • Conyers, GA
  • NPI 1114694460
  NPD Authorized official

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1841831211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OAK DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132354",
            "telephone_number": "770-881-7100",
            "fax_number": "770-828-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BELLS FERRY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447140",
            "telephone_number": "770-899-7268",
            "fax_number": "770-828-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "MYIA",
        "middle_name": "FRANCES",
        "credential": "MA, PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Kihara
• Elizabeth Killian, DPT
• Gloria Kim, RN
• Jeanhie Frances Kim
• Kyoung-Soon Kim, MD
• Kortney Kimura, D.C.
• Aldreques Andros King, PASTORAL COUNSELOR
• Alexandra King, MED.,NCC
• Andrew King, DOCTORATE OF PHARMAC
• Angela Dawn King, D.C.

• Clinical Medical Laboratory in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.