Kevin Kimm DO,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KEVIN KIMM DO,PC

Practice address

1010 S Grand Ave
Suite 1
Charles City, IA 50616-3729

Phone

(641) 228-5555

Fax

(641) 228-5556

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Kimm, DONPI 1831131580

Title

Physician

Phone

(641) 228-5555

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin A Kimm, D.O.

  • Family Medicine Physician
  • Fairmont, MN
  • NPI 1831131580
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215972567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S ILLINOIS AVE",
            "address_2": "SUITE 103",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504015489",
            "telephone_number": "641-494-3041",
            "fax_number": "641-494-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S GRAND AVE",
            "address_2": "SUITE 1",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163729",
            "telephone_number": "641-228-5555",
            "fax_number": "641-228-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KIMM DO,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "641-228-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorne Allen Johnson, PSYD
• Thomas Joseph Kafka, MD
• James Matthew Keane, TCADC
• Kayla Anne Kellogg, DNP
• Kenneth J. Sheckler, D.D.S.,P.C.
• Douglas D Klinkel, DC
• Bret Alan Kruthoff, PT
• Troy Allen Loeckle, PT, RVT, RCP
• Val Owen Lyons, MD
• Main Street Drug

• Family Medicine Physician in Charles City, IA
• Providers in Charles City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.