Individual
JASON B KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
600 WEST 98TH STREET, BLOOMINGTON, MN 55420-4773
(952) 881-2651
(952) 885-6065
Mailing address
600 WEST 98TH STREET, BLOOMINGTON, MN 55420-4773
(952) 881-2651
(952) 885-6065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9569
MN
Other
Enumeration date
04/29/2006
Last updated
04/05/2012
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