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Individual

KATHRYN A KIMPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
701 E A AVE, KINGMAN, KS 67068-1723
(620) 532-5145
(620) 532-2478
Mailing address
701 E A AVENUE, KINGMAN, KS 67068-1266
(620) 532-5145
(620) 532-2478

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500791
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100420800B
KS
Enumeration date
01/27/2006
Last updated
10/15/2012
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