Search › Missouri › 1223E0200X
Leland Kimball, DDS
NPI 1417039967 · on the registry since 2006
Practice
- Address
- 1724 Nebraska Ave
Usa Dentac
Fort Leonard Wood, MO 65473 - Phone
- (573) 596-0388
- Fax
- (573) 596-0410
- Organisation at this address
- General Leonard Wood Army Community Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-29
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 Missouri