DR. MICHAEL KEITH KIMBLE DDS NPI 1710094297

NPI Information

NPI: 1710094297
Provider Name: DR. MICHAEL KEITH KIMBLE, DDS
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 1602 LAKEWOOD DRIVE
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 765-6552

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NPI Details

DR. Michael Keith Kimble, DDS is a general practice dentist in Elizabethtown, KY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael Keith Kimble, DDS NPI is 1710094297. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1602 LAKEWOOD DRIVE
ELIZABETHTOWN, KY
ZIP 42701-458
Phone: (270) 765-6552
Fax: (270) 769-3797

The enumeration date for this NPI number is 8/23/2006 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	4787	KENTUCKY	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	799542	OTHER		UNITED CONCORDIA COMP INC

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: 3/30/2025

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