Ronald Kimball
Individual provider Active NPI Rehabilitation Practitioner · Greenville, CA
NPI 1992075147 · NPPES record last updated Jan 5, 2012
Key facts
- NPI
- 1992075147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- License
- GF-125399361-050 (NV)
- Practice address
- 312 Crescent St
Greenville, CA 95947 - Phone
- (530) 284-7007
- Fax
- (530) 284-7111
- NPI assigned
- Jan 5, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GF-125399361-050 | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Circle Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | GF-125399361-050 | NV | Yes |
Addresses
Primary practice location
312 Crescent St
Greenville, CA 95947
Mailing address
PO Box 554
Greenville, CA 95947-0554
Phone (530) 284-7007
Other providers in Greenville, CA
- Megan Joy
- Lavinia Kalamafoni
- Rocky Kalamafoni
- Julanne Kaufman
- Robert Kaufman
- Kim Lou Kurihara
- Flora Minera
- Mountain Circle Family Services
- Bryttni Leeann Norberg
- Ade Owomoyela
All providers in Greenville, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 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.