Individual
DR. ELIZABETH S KIMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9515 DEERECO RD, SUITE 205, TIMONIUM, MD 21093-2116
(410) 252-6836
(410) 252-6825
Mailing address
2001 BUTTERFIELD RD, SUITE 300, DOWNERS GROVE, IL 60515-1050
(630) 725-2730
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
D0027824
MD
207P00000X
Emergency Medicine Physician
Primary
D0027824
MD
207P00000X
Emergency Medicine Physician
MD065121L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327741100
—
MD
Enumeration date
06/14/2006
Last updated
03/30/2017
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