NPI 1003806514

Ronald E Kimball, MD

Practitioner Gynecologic Oncology Physician Urbana, IL

Practice location

Address: 509 W University Ave, Urbana, IL 61801-1645
Phone: (217) 383-6636
Fax: (217) 383-3466
Mailing address: 611 W. Park St. Bwpc, Urbana, IL 61801-2500

Registered specialties (2)

Gynecologic Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X Licence 036128873 (IL)

Other Obstetrics & Gynecology providers in Illinois →

Gynecologic Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 207VX0201X Licence 45330 (CO)

Registry record

NPI: 1003806514
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2005
Record last updated: 26 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.