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Koby Kimball, PA-C
NPI 1184338550 · on the registry since 2023 · sole proprietor
Practice
- Address
- 619 E Mason St
Springfield, IL 62701 - Phone
- (217) 788-0706
- Fax
- (217) 525-2535
- Organisation at this address
- Scan American Springfield Llc
Prairie Cardiovascular Consultants LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Sex
- Male
- Record last updated
- 2025-09-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois