Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON B KIMMEL, PAC
DeactivatedJASON B KIMMEL, PAC is a Physician Assistant healthcare provider located in BLOOMINGTON, Minnesota. NPI 1033176219 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · BLOOMINGTON, MN
This NPI has been deactivated.
The record was deactivated on September 12, 2011.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1033176219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2006 (5.3715846994536 yrs)
- Last Updated
- Apr 5, 2012
- Deactivated
- Sep 12, 2011
- License
-
9569 (MN)
Practice Information
- Address
-
600 WEST 98TH STREETBLOOMINGTON, MN, 554204773Browse MN providers · Browse ZIP 55420
- Phone
- 9528812651
- Fax
- 9528856065
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLOOMINGTON, MN
| Name | Credential | NPI |
|---|---|---|
| DEBORAH R OSGOOD | PA-C | 1881698801 |
| MICHELLE HOPMAN | PA-C | 1023017084 |
| JILL MARIE ENGLUND | PAC | 1427042019 |
| TIMOTHY PAUL MCDONALD | PA C | 1194798900 |
| AMANDA J HARRISON | PAC | 1477528727 |
| MRS. MARY ANN HEFFELBOWER | PA-C | 1164483194 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.