Mckayla Marie Kimball, is a
Occupational Therapist based in Altavista, Virginia. Mckayla Marie Kimball is licensed to practice in New York (license number 030599) and her current practice location is
1317 Lola Ave, Altavista, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 369-6651.
NPI number for Mckayla Marie Kimball is 1629930797 and her current mailing address is 1872 State Route 30, North Blenheim, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629930797.
Healthcare Provider's Profile
| Full Name | Mckayla Marie Kimball |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 1317 Lola Ave, Altavista, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629930797
- Provider Enumeration Date: 11/26/2025
- Last Update Date: 12/05/2025
Medical Identifiers
Medical identifiers for Mckayla Marie Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629930797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 030599 (New York) | Primary |
| 225X00000X | Occupational Therapist | OC021220 (Pennsylvania) | Secondary |
| 225X00000X | Occupational Therapist | 0119011228 (Virginia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mckayla Marie Kimball is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mckayla Marie Kimball, 1872 State Route 30, North Blenheim, NY 12131-1604 Ph: (518) 545-7455 | Mckayla Marie Kimball, 1317 Lola Ave, Altavista, VA 24517-1352 Ph: (434) 369-6651 |
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