Provider Demographics
NPI:1356379473
Name:KIMBELL, ARMAGHAN N (DO)
Entity type:Individual
Prefix:
First Name:ARMAGHAN
Middle Name:N
Last Name:KIMBELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:KIMBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2145 E BASELINE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1546
Mailing Address - Country:US
Mailing Address - Phone:866-256-3217
Mailing Address - Fax:
Practice Address - Street 1:1100 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-1572
Practice Address - Country:US
Practice Address - Phone:913-297-9945
Practice Address - Fax:913-297-9628
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDO2023-1066207Q00000X
WYTL8765207Q00000X
AZ3539207Q00000X
CA20A12906207Q00000X
CODR.0067784207Q00000X
MO2022030388207Q00000X
KSTW-00106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ520090Medicaid
AZP00378026Medicare PIN
AZ520090Medicaid
AZZ113864Medicare PIN
AZZ113845Medicare PIN