Individual
KENNETH K KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3310 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2629
(785) 842-7200
(785) 842-9397
Mailing address
3310 CLINTON PARKWAY CT, LAWRENCE, KS 66047-2629
(785) 842-7200
(785) 842-9397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-17863
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051620402
—
KS
Enumeration date
08/09/2005
Last updated
01/24/2014
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