Kimm, Jill Ann
Kimm, Jill Ann is an individual health care provider with primary practice located at 540 E Jefferson St Suite 301, Iowa City IA 52245-2477. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Kimm, Jill Ann can be contacted via phone (319) 688-7800.Contact Information
Primary practice address
540 E Jefferson St Suite 301
Iowa City IA 52245-2477
Phone: (319) 688-7800
Fax: (319) 887-2879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | C53654 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C53654 | California |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | C53654 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 23341 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 24640 | Iowa |
Profile Details
| NPI number | 1861531501 |
|---|---|
| LBN Legal business name | Kimm, Jill Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Oct 16th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861531501 | NPPES |
| California | Other | C53654 | LICENSE |
| California | MEDICAID | 7100008000 | LICENSE |
| California | MEDICAID | 2735071 | LICENSE |
| California | MEDICAID | 3810019557 | LICENSE |
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