IndividualActive
Chad Kimball, M.D.
NPI 1629247358 · Addiction Medicine (Internal Medicine) Physician · Provo, UT
Provider details
- NPI number
- 1629247358
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 68514421205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1145 Quail Summit Dr
Provo, UT 84604
Phone: (801) 556-2289
Fax: (801) 691-0969
Approximate (ZIP-level) locationGet directions
Mailing address
1145 Quail Summit Dr
Provo, UT 84604-5277
Additional practice locations (2)
- 1055 N 500 WSuite 212Provo, UT 84604-3305Phone: (801) 374-2362Fax: (801) 429-8050
- 1055 N 500 WSuite 212Provo, UT 84604-3305Phone: (801) 374-2362Fax: (801) 429-8050
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2019-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.