| Doctor Name: | MS. MICHELLE K. KIMBALL |
| NPI Number: | 1598964009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 639185 |
| Business Practice Address: | 1300 W Terrell #500 Ft. Worth, TX - 761042810 |
| Business Phone Number: | 8172525000 |
| Business Fax Number: | 8172525060 |
| Mailing Address: | 1300 W. Terrell #500, Consultants In Cardiology, Pa FT. WORTH |
| State: | TX |
| Postal Code: | 761042810 |
| Phone Number: | 8172525000 |
| Fax Number: | 8172525060 |
| NPI Enumeration Date: | 07/13/2007 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 639185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |