Cynthia a Kimble MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0063139 Issued in FL

Legal business name

CYNTHIA A KIMBLE MD

Practice address

2451 Centerville Rd
Tallahassee, FL 32308-4417

Phone

(850) 877-4744

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Cynthia A Kimble, M.D.NPI 1821013749

Title

Practice Owner

Phone

(850) 877-4744

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Cynthia A Kimble, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1821013749
  NPD (past) Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1962894063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084417",
            "telephone_number": "850-877-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084417",
            "telephone_number": "850-877-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA A KIMBLE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "KIMBLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "850-877-4744",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0063139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "18756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cynthia'S Wig Boutique LLC
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• General Practice Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.