MS. IRENE DONLEY KIMBLE MD - NPI 1417047960 - Specialist in San Bernardino, CA

Q: What is Irene Donley Kimble's NPI number?

The NPI number for Irene Donley Kimble is 1417047960. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Irene Donley Kimble's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Ms. Irene Donley Kimble Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IRENE DONLEY KIMBLE MD (NPI 1417047960) is an individual specialist in San Bernardino, California, licensed in California (G042558) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417047960

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMS. IRENE DONLEY KIMBLECredential: MD

Location Address249 E HIGHLAND AVESan Bernardino, CA 92404-3707

Mailing Address249 E Highland AveSan Bernardino, CA 92404-3707 · (909) 881-1683 · Fax (909) 713-0038

Phone(909) 881-1683

Fax(909) 881-4215

Sole ProprietorNo

Enumeration DateOctober 13, 2006

Last NPPES UpdateMarch 9, 2011

✔ NPI 1417047960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G042558

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

249 E HIGHLAND AVE, San Bernardino, CA 92404

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Other Identifiers 3

Medicare ID-Type UnspecifiedZZZ11579Z

Medicare ID-Type Unspecified00G425580CA

Medicare UPINA49018CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Irene Donley Kimble Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH FELIX-TRUNNELLE M.D.

Obstetrics & Gynecology