Individual
JOEL P KIMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3346 LENNON ROAD, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-3740
Mailing address
3346 LENNON ROAD, SUITE 2, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-3740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101005903
MI
2085R0202X
Diagnostic Radiology Physician
JK005903
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016618
MIDWEST HEALTH PLANS
MI
01
—
136504
GREAT LAKES HEALTH PLAN
MI
01
—
300Q264480
BCBSM/BCN
MI
05
—
4398860
—
MI
01
—
4477536
AETNA
MI
01
—
57100
OMNICARE
MI
Enumeration date
04/15/2006
Last updated
08/23/2011
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