Provider Demographics
NPI:1083804694
Name:KIMBALL, BRENT YOUNG (MD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:YOUNG
Last Name:KIMBALL
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:10535 PARK MEADOWS BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8401
Mailing Address - Country:US
Mailing Address - Phone:720-441-4021
Mailing Address - Fax:877-569-2398
Practice Address - Street 1:10535 PARK MEADOWS BLVD STE 150
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-8401
Practice Address - Country:US
Practice Address - Phone:720-441-4021
Practice Address - Fax:710-360-1195
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2025-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO52364207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery