Individual
ELAINE ALMEDA KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, EMT-B
Contact information
Practice address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
(570) 587-2142
Mailing address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
PA
2255A2300X
Athletic Trainer
Primary
2000025961
PA
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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