Individual
NICHOLAS JAMES KIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13615 N 35TH AVE, STE 1, PHOENIX, AZ 85029
(602) 993-1722
(602) 866-0219
Mailing address
13615 N 35TH AVE, STE 1, PHOENIX, AZ 85029
(602) 993-1722
(602) 866-0219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7485
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0242280
BCBS
AZ
Enumeration date
06/15/2006
Last updated
11/02/2015
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