Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane P Kimball, DO

Individual provider Nephrology Physician · NPI 1396747606

Shane P Kimball, DO is a Nephrology in Little Rock, Arkansas. Qualified in 1999, 27 years ago. Practices with Renal Consultants, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
27
Licensed in
AR
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9601 Baptist Health Dr Ste 400
Little Rock, AR 72205-6399
Phone: (501) 224-2141
Fax: (015) 224-0506
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence E3391 (AR)

Record details

NPI number1396747606
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMay 2, 2019
Mailing address9601 Baptist Health Dr Ste 400, Little Rock, AR 72205-6399

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Renal Consultants — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Little Rock