Individual
JILL ANN KIMM
Active
Individual
JILL ANN KIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
C53654
CA
2084N0400X
Neurology Physician
23341
KY
2084N0400X
Neurology Physician
Primary
24640
IA
2084N0400X
Neurology Physician
C53654
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
C53654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2735071
—
OH
05
—
3810019557
—
WV
05
—
7100008000
—
KY
01
—
C53654
LICENSE
CA
Enumeration date
02/06/2007
Last updated
10/16/2014
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