NPI 1083382634

John Kimball, PAC

Practitioner Physician Assistant Henderson, NC

Practice location

Address: 381 Ruin Creek Rd, Henderson, NC 27536-2932
Phone: (252) 430-0666
Mailing address: 819 Silver Linden Ln, Wake Forest, NC 27587-2958

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1083382634
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2021
Record last updated: 13 Sep 2021

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.