Healthcare Provider Details

I. General information

NPI: 1710114848
Provider Name (Legal Business Name): REBECCA A KIMBLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 E HAMPDEN AVE
DENVER CO
80224-3003
US

IV. Provider business mailing address

5155 SOLIAS RD
FALLON NV
89406-8298
US

V. Phone/Fax

Practice location:
  • Phone: 303-925-4199
  • Fax:
Mailing address:
  • Phone: 202-670-2490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME114573
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: