NPI 1073214862
Alethia Julianna Kimble, AMSA
Practice location
- Address
- 2401 W Main St, Marion, IL 62959-1188
- Phone
- (618) 997-5311
- Mailing address
- 418 W Webster St APT 5, Benton, IL 62812-1481
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1073214862
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Mar 2023
- Record last updated
- 17 Mar 2023
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.