Mary K. Kimball PA
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Mary Katherine Kimball PA
NPI Number
1184050874
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/25/2013
Specialties
(Taxonomies)Licenses
State
Florida
Texas
License Number
PA9112061
PA08782
Contact
Information
Purpose
Mailing
Location
Address
4500 SAN PABLO RD S
4500 SAN PABLO RD S
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32224-1865
32224-1865
Country
US
US
Telephone Number
(904) 953-2000
(904) 953-2000
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
mkimball1193858@ehrdirect.mayoclinicmsg.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
4500 San Pablo Rd SJacksonville, FL322241865US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/01/2020