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ANDREW SCOTT KIMBALL M.D. NPI 1700147873


NPI Information

NPI: 1700147873
Provider Name: ANDREW SCOTT KIMBALL, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS

PECOS Registration: Yes

Address:
4069 LAKE DR SE STE 312
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 267-8700
Get Directions

Andrew Scott Kimball, M.D. is a vascular surgery surgery in Grand Rapids, MI with 12 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Andrew Scott Kimball, M.D. NPI is 1700147873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2012

The provider's business location address is:

4069 LAKE DR SE STE 312
GRAND RAPIDS, MI
ZIP 49546-816
Phone: (616) 267-8700

The NPI 1700147873 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 6/5/2012 and was last updated on 10/6/2021.


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
1208600000XSurgery4301100257MICHIGANNo
22086S0129XSurgeryVascular Surgery4301100257MICHIGANYes

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.