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Individual

ROBERT R KIMMEL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1029 E MAIN STE 104, PUYALLUP, WA 98372-3814
(253) 446-6977
(253) 604-4703
Mailing address
1029 E MAIN STE 104, PUYALLUP, WA 98372-3814
(253) 446-6977
(253) 604-4703

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
36385
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00020915
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36385
MISSOURI LICENSE
MO
05
8562209
WA
Enumeration date
09/04/2008
Last updated
10/02/2023
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