Individual
DR. MICHAEL LEE KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
349 MAIN ST, HARLEYSVILLE, PA 19438-2419
(215) 256-1385
(215) 256-1386
Mailing address
349 MAIN ST, HARLEYSVILLE, PA 19438-2419
(215) 256-1385
(215) 256-1386
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007187L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274956000
KEYSTONE PERSONAL CHOICE
PA
01
—
2560677
AETNA
PA
Enumeration date
10/06/2006
Last updated
06/11/2019
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