Provider Demographics
NPI:1366580474
Name:KIMZEY, DAVID MORRISON (CO)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MORRISON
Last Name:KIMZEY
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15163 OAK RANCH DR
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-9373
Mailing Address - Country:US
Mailing Address - Phone:559-300-4274
Mailing Address - Fax:
Practice Address - Street 1:5603 W HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5136
Practice Address - Country:US
Practice Address - Phone:559-733-7976
Practice Address - Fax:559-733-3836
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACO003478222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist