Individual
DR. DAVID PAUL KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 PARK AVE, BANNER ELK, NC 28604-6604
(828) 898-5177
(828) 898-8306
Mailing address
PO BOX 1568, BANNER ELK, NC 28604-1568
(828) 898-5177
(828) 898-8306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31158
NC
207R00000X
Internal Medicine Physician
MD25106
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110035534
RAILROAD MEDICARE
NC
01
—
3004186
TN BLUECROSS & TENNCARE
TN
05
—
4183673
—
TN
01
—
48974
NC BLUECROSSBLUESHIELD
NC
05
—
8948974
—
NC
Enumeration date
09/15/2005
Last updated
06/09/2011
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