Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath |
NPI | 1982743621 |
---|---|
Provider Name | Miss Donna Marie Kimmel |
First Address | Huntingdon Valley, PA 19006-1535 |
Second Address | Huntingdon Valley, PA 19006-1535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |