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DR. EDWARD JAMES KIMBALL MD NPI 1699865204


NPI Information

NPI: 1699865204
Provider Name: DR. EDWARD JAMES KIMBALL, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: MAKANA NORTH SHORE CLINIC

PECOS Registration: Yes

Address:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-6035
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DR. Edward James Kimball, MD is an emergency medicine in Salt Lake City, UT with 30 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Edward James Kimball, MD NPI is 1699865204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 585-6035

The NPI 1699865204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/3/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine360805-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.