Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kenny Ray Kimball II, PT, DPT

Individual provider Physical Therapist · NPI 1184099103

Kenny Ray Kimball II, PT, DPT is a Physical Therapist in Private Practice in Glasgow, Kentucky. Qualified in 2015, 11 years ago. Practices with Graves Gilbert Clinic PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
11
Licensed in
KY
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1410 N Race St
Glasgow, KY 42141-3473
Phone: (270) 651-7882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006743 (KY)

Record details

NPI number1184099103
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedDecember 2, 2015
Last updated in NPPESDecember 2, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Graves Gilbert Clinic Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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