Lauren G. Kimmerly, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

202200952 Issued in MO

Practice address

3120 S Big Bend Blvd
Saint Louis, MO 63143-3902

Phone

(314) 529-5215

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1700591872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 QUINCY ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631094031",
            "telephone_number": "810-488-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631433902",
            "telephone_number": "314-529-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMERLY",
        "first_name": "LAUREN",
        "middle_name": "G.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "202200952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusty Kime
• Mary Claire Kimmel, MD
• Mason Kimmel, AA
• Sarah Kimmel, EDS, LPC
• Mary Lou Powers Kimmell, MSW, LCSW
• Zorbari Kina, BA
• Ashlyn Elizabeth Kinard, DO
• Kincaid Medical Associates PC
• Kincare LLC
• Kind Hearts LLC

• Sports Physician Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Sports Physician Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.