Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beverly A. Kimball, PA-C

Individual provider Family Medicine Physician · NPI 1245293463

Beverly A. Kimball, PA-C is a Family Medicine Physician in Rice Lake, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2006.

Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1700 W Stout St
Rice Lake, WI 54868-5000
Phone: (715) 236-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 225-023 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 8905 (MN)

Record details

NPI number1245293463
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJuly 7, 2010

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