Individual
MR. JEFF KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1608 CASTLE ROCK RD, YUKON, OK 73099-4429
(405) 354-6808
(443) 886-9080
Mailing address
1608 CASTLE ROCK RD, YUKON, OK 73099-4429
(405) 354-6808
(443) 886-9080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
879
OK
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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