Provider Demographics
NPI:1942441027
Name:KIMBER, SARAH TITUS (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TITUS
Last Name:KIMBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2742
Mailing Address - Country:US
Mailing Address - Phone:630-406-1958
Mailing Address - Fax:
Practice Address - Street 1:318 WALNUT ST
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-2725
Practice Address - Country:US
Practice Address - Phone:630-377-9277
Practice Address - Fax:630-377-9729
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.083358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine