Provider Demographics
NPI:1659358026
Name:KIMBERLIN, RONALD M (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:M
Last Name:KIMBERLIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1510
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1510
Mailing Address - Country:US
Mailing Address - Phone:812-858-6244
Mailing Address - Fax:812-858-6240
Practice Address - Street 1:4015 GATEWAY BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8925
Practice Address - Country:US
Practice Address - Phone:812-858-6244
Practice Address - Fax:812-858-6240
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2009-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01027359A207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
043679294006OtherUNICARE
04367929405OtherDONLEY & CO.
IN100337400Medicaid
179426OtherHEALTHLINK
IN000000532944OtherANTHEM PIN
110245037OtherRAILROAD MEDICARE
080117OtherHEALTH ALLIANCE
IN100337400Medicaid
IN000000532944OtherANTHEM PIN
04367929405OtherDONLEY & CO.