JACK KIMMELL
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1740731116
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | 3925375607 (IN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | 3925375607 (IN) |
Frequently Asked Questions
NPI 1740731116 is the National Provider Identifier for JACK KIMMELL, a Student in an Organized Health Care Education/Training Program provider located in South Bend, IN. This NPI was enumerated on October 20, 2016.
JACK KIMMELL practices at 1526 EAST LASALLE, South Bend, IN 46617.
Quick Facts
- NPI
- 1740731116
- Type
- Individual
- Enumerated
- Oct 20, 2016
- Last Updated
- Oct 20, 2016
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