Individual
DR. NICHOLETTE KIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
16283 IPAVA AVE, LAKEVILLE, MN 55044-4658
(952) 898-2287
Mailing address
3633 147TH ST W, ROSEMOUNT, MN 55068-4235
(651) 423-0112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4114
MN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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