Individual
ERIC RYAN KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01083724A
IN
2084N0400X
Neurology Physician
LL84349
SC
2084N0400X
Neurology Physician
R-10600
IA
Other
Enumeration date
05/27/2016
Last updated
10/17/2022
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