Jack Mcintyre Kimmell is a student in an organized health care education training program in South Bend, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jack Mcintyre Kimmell NPI is 1740731116. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1526 EAST LASALLE
SOUTH BEND, IN
ZIP 46617
Phone: (574) 310-1911
The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.