Individual
RANDY KIMPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425-1207
(952) 851-1000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23568
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005568900
—
MN
Enumeration date
07/25/2006
Last updated
11/09/2020
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