NPI | 1467895722 |
---|---|
Other Name | ADAM KIMMES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 635414) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 635414) |
Enumeration Date | 2013-04-16 |
Last Update Date | 2022-07-21 |