# KEVIN KIMM DO,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215972567
- **Authorized official:** DR. KEVIN KIMM DO (PHYSICIAN)
- **Authorized official phone:** (641) 228-5555

## Contact information

- **Practice address:** 1010 S GRAND AVE, SUITE 1, CHARLES CITY, IA 50616-3729
- **Practice address phone:** (641) 228-5555
- **Practice address fax:** (641) 228-5556
- **Mailing address:** 621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
- **Mailing address phone:** (641) 494-3041
- **Mailing address fax:** (641) 494-3059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 08/22/2020