NPI 1922358217

Kevin Kimbell, CPO

Practitioner Prosthetist Round Rock, TX

Practice location

Address: 2801 Oakmont Dr STE 1200, Round Rock, TX 78665-1023
Phone: (512) 255-4400
Fax: (512) 255-4404

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1238 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1238 (TX)

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Registry record

NPI: 1922358217
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2012
Record last updated: 20 Nov 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.