Individual
KATIE MARIE KIMMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2205 FOREST DR SE, CEDAR RAPIDS, IA 52403-1653
(319) 558-2161
Mailing address
3906 B AVE NE, CEDAR RAPIDS, IA 52402-5644
(319) 654-6114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00627
IA
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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