Individual
KAITLYN ELIZABETH ZIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-4197
(765) 456-5360
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001676A
IN
363AM0700X
Medical Physician Assistant
10001676A
IN
Other
Enumeration date
07/02/2014
Last updated
03/09/2022
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