Individual
ENOCH KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 DAKOTA CT APT 1, MINOT AFB, ND 58704-1402
(210) 628-9691
Mailing address
114 DAKOTA CT APT 1, MINOT AFB, ND 58704-1402
(210) 628-9691
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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