James Robert Kimball, M.D.
Individual provider Active NPI Family Medicine Physician · Orange Beach, AL
NPI 1891040002 · NPPES record last updated Jul 13, 2012
Key facts
- NPI
- 1891040002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD27344 (AL)
- Practice address
- 5550 Pine Wood Cir
Orange Beach, AL 36561-4200 - Phone
- (251) 271-0070
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27344 | AL | MD | Family Medicine Physician |
| D0063883 | MD | MD | Family Medicine Physician |
| 13328 | OK | MD | Family Medicine Physician |
| MD24036 | SC | MD | Family Medicine Physician |
| MD0000040394 | TN | MD | Family Medicine Physician |
| 0101239289 | VA | MD | Family Medicine Physician |
| 24036 | SC | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13328 | OK | |
| Family Medicine Physician | 207Q00000X | MD0000040394 | TN | |
| Family Medicine Physician | 207Q00000X | D0063883 | MD | |
| Family Medicine Physician | 207Q00000X | 0101239289 | VA | |
| Family Medicine Physician | 207Q00000X | MD27344 | AL | Yes |
| Family Medicine Physician | 207Q00000X | MD24036 | SC |
Addresses
Primary practice location
5550 Pine Wood Cir
Orange Beach, AL 36561-4200
Mailing address
5550 Pine Wood Cir
Orange Beach, AL 36561-4200
Phone (251) 271-0070
Other providers in Orange Beach, AL
- Jason O'Rear Chiropractic, LLC
- Kalin McCabe Roach, DMD LLC
- Karin Pardue MD LLC
- Sara Beth Kennedy
- Anthony T Kennon
- Katey Lynn Kimbro
- Randall Brian Knutson
- Melissa R Lacour
- Jeanette Hinchey Lark
- Lifestyle Performance Medicine
All providers in Orange Beach, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.