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Search › Indiana › Student in an Organized Health Care Education/Training Program

Jack Kimmell

NPI 1740731116 · on the registry since 2016

Practice

Address
1526 East Lasalle
South Bend, IN 46617
Phone
(574) 310-1911

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Athletic Trainer
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-20
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana