Individual
KRISTOPHER T KIMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 RIDGEWAY AVE STE 340, ROCHESTER, NY 14626-4296
(585) 368-6545
(585) 368-6546
Mailing address
2655 RIDGEWAY AVE STE 340, ROCHESTER, NY 14626-4296
(585) 368-6545
(585) 368-6546
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
285417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902122203
—
MO
Enumeration date
04/12/2010
Last updated
05/22/2020
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