Individual
MRS. ALLISON PAIGE KIMMEL
Active
Individual
MRS. ALLISON PAIGE KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004988A
LICENSE
IN
01
—
1213020
BOARD CERTIFICATION ID
IN
05
—
300121352
—
IN
05
—
7101093600
—
KY
Enumeration date
05/07/2025
Last updated
07/24/2026
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