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Individual

GAIL A. KIMMERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
17TH & CHEW STREET, ALLENTOWN, PA 18102
(610) 402-8896
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-8896
(610) 402-9029

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284139L
PA
367500000X
Certified Registered Nurse Anesthetist
045190
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1627967
HIGHMARK
PA
01
2000726
KHP CENTRAL
PA
01
2304225000
INDEP. BLUE CROSS
PA
01
50034713
CAPITAL ADVANTAGE
PA
01
87367
GEISINGER
PA
01
P00198553
RAIL ROAD MEDICARE
PA
Enumeration date
09/27/2005
Last updated
11/26/2008
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