Kimmel, Kenneth K

Kimmel, Kenneth K is an individual health care provider with primary practice located at 3310 Clinton Parkway Ct , Lawrence KS 66047-2629. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kimmel, Kenneth K can be contacted via phone (785) 842-7200.

Contact Information

Primary practice address
3310 Clinton Parkway Ct Lawrence KS 66047-2629
Fax: (785) 842-9397
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-17863 Kansas

Profile Details

NPI number 1659372175
LBN Legal business name Kimmel, Kenneth K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 24th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659372175 NPPES
Kansas MEDICAID 2051620402

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