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Individual

DR. JAMES RICHARD KIMMELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
460 BYHALIA RD, HERNANDO, MS 38632-1319
(662) 429-5239
(662) 449-0758
Mailing address
4488 WESTMINISTER CIR, SOUTHAVEN, MS 38671-8594
(662) 449-3654
(662) 449-3654

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
PER-277-95
MS

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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