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NPI Code Detail

MEDICARE: RITA KIMBALL NP-P

MEDICARE:   RITA  KIMBALL  NP-P
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF400323NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F400323OTHERNYNP LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700092277
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA KIMBALL NP-P
Provider Business Mailing Address
First Line : 1285 ROUTE 9
Second Line : SUITE 7B
City : WAPPINGERS FALLS
State : NY
Zip : 12590-4993
Country : US
Telephone Number : 845-705-4804
Fax Number : 845-632-2940
Provider Business Practice Location Address
First Line : 1285 ROUTE 9 STE 7B
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-4993
Country : US
Telephone Number : 845-705-4804
Fax Number : 419-273-0495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 03/07/2023

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Directions to “ RITA KIMBALL NP-P” Practice Location

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