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NPI Code Detail

MEDICARE: DR. ANDREW SCOTT KIMBER DO

MEDICARE: DR. ANDREW SCOTT KIMBER DO
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
1208600000XSurgery PhysicianBP10081598TX
2208600000XSurgery Physician288889MA

General Provider Information

NPI Number : 1912585365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW SCOTT KIMBER DO
Provider Business Mailing Address
First Line : 701 W 5TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79763-4206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W 5TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79763-4206
Country : US
Telephone Number : 617-638-8442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 06/11/2026

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Directions to “ DR. ANDREW SCOTT KIMBER DO” Practice Location

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