Kenneth K Kimmel, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

04-17863 Issued in KS

Practice address

3310 Clinton Parkway CT
Lawrence, KS 66047-2629

Phone

(785) 842-7200

Fax

(785) 842-9397

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1659372175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472629",
            "telephone_number": "785-842-7200",
            "fax_number": "785-842-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 CLINTON PARKWAY CT",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472629",
            "telephone_number": "785-842-7200",
            "fax_number": "785-842-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "KENNETH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-17863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051620402",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Leigh Kile, DPT
• Esther Kim
• James W. Kim, MD
• Julien Njogu Kimani
• Jason P Kimball, M.D.
• Larisa Elaine Kimuri, M.D.
• Charles L Kincaid, DDS
• Kindred Spirit Counseling, LLC
• Kinetikos Bodywork Therapy
• Debra H King, LSCSW, TLAC

• Specialist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.