Jim R Kimbal, ATC, LAT, LMT, CSCS Valid NPI

Individual provider · Athletic Trainer · Fairbanks, AK

NPI

1114985322

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

124560 (AK)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-05-04

Last updated

2020-09-28