Individual
MR. CHRISTOPHER L KIMMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173-1165
(765) 932-3699
(765) 932-4164
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068890A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000845183
ANTHEM PIN
IN
05
—
201014600-INDIV.
—
IN
Enumeration date
06/26/2008
Last updated
12/26/2013
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