NPI 1154744647
Tara Lee Kimball, RDH
Practice location
- Address
- 99 W 26th St, Holland, MI 49423-4970
- Phone
- (616) 392-3610
- Fax
- (616) 392-3632
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1154744647
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Feb 2014
- Record last updated
- 4 Feb 2014
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.