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Individual

DR. KENNETH GIMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6001 SW 6TH AVE, STE 200, TOPEKA, KS 66615-1011
(785) 233-7491
(785) 233-3187
Mailing address
6001 SW 6TH AVE, STE 200, TOPEKA, KS 66615-1011
(785) 233-7491
(785) 233-3187

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04 17836
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100169740B
KS
01
200032752
RR MEDICARE
Enumeration date
12/07/2005
Last updated
10/12/2010
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