MARK G. KIMBLE D.C. PA NPI 1538230859

NPI Information

MARK G. KIMBLE, D.C. PA is a chiropractor in Rock Hill, SC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MARK G. KIMBLE, D.C. PA NPI is 1538230859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kimble Chiropractic Center.

The provider's business location address is:

518 NORTH AVE
ROCK HILL, SC
ZIP 29732-384
Phone: (803) 327-6155
Fax: (803) 327-5062

The provider's authorized official is Mark G Kimble .
The authorized official title is Chiropractor and has the following contact phone number (803) 327-6155.

The CLIA number assigned to this NPI record is 42D0253586 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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