| Doctor Name: | DR. NATHAN A KIMBREL |
| NPI Number: | 1003048604 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1979 |
| Business Practice Address: | 4800 Memorial Drive (151c), Center Of Excellence Central Texas Veterans Health Care System Waco, TX - 767111329 |
| Business Phone Number: | 2542975232 |
| Business Fax Number: | |
| Mailing Address: | 4800 Memorial Drive (151c), Center Of Excellence, Central Texas Veterans Health Care System WACO |
| State: | TX |
| Postal Code: | 767111329 |
| Phone Number: | 2542975232 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2009 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |