Individual
JACK MCINTYRE KIMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 EAST LASALLE, SOUTH BEND, IN 46617
(574) 310-1911
Mailing address
1526 E LASALLE AVE, SOUTH BEND, IN 46617-2606
(574) 310-1911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3925375607
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3925375607
IN
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us