Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK MCINTYRE KIMMELL
ActiveJACK MCINTYRE KIMMELL is a Student (Health Education/Training) healthcare provider located in SOUTH BEND, Indiana. NPI 1740731116 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SOUTH BEND, IN
Registration Details
- NPI Number
- 1740731116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2016 (9.6326156268351 yrs)
- Last Updated
- Oct 20, 2016
- Licenses
-
3925375607 (IN)3925375607 (IN)
Practice Information
- Address
-
1526 EAST LASALLESOUTH BEND, IN, 46617Browse IN providers · Browse ZIP 46617
- Phone
- 5743101911
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| KELSEY PERRY | MD CANDIDATE | 1730758673 |
| ALEXIS MARTEL-LAMOTHE | — | 1538830575 |
| HANNAH LENNEA DRAZENOVICH | MD | 1760111967 |
| BRANDON THOMAS BEDSOLE | MD | 1366171175 |
| REBECCA MCFADDEN HENDRICKS | MD | 1740910959 |
| DANIEL PERRY | — | 1740975119 |
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.