Individual
MRS. TRACIE LEIGH KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
100 CHEYENNE AVE, LAME DEER, MT 59043-0070
(406) 477-8848
Mailing address
PO BOX 213, COLSTRIP, MT 59323-0213
(406) 748-3473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44899
MT
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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