Active NPI
Kevin A Kimm, D.O.
- Family Medicine Physician
- Fairmont, MN
National Provider Identifier
1831131580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50882
- Practice address
- 717 S State St
Suite 900
Fairmont, MN 56031-4469 - Phone
- (507) 238-4949
- Fax
- (855) 273-5489
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50882 | MN | Primary |
Addresses
Primary practice location
717 S State St
Suite 900
Fairmont, MN 56031-4469
Mailing address
717 S State St
Suite 900
Fairmont, MN 56031-4469
Phone (507) 238-4949
Other practice location 1
1820 Central Ave
Estherville, IA 51334-2409
Phone (712) 362-5236
Other practice location 2
412 6th St
Armstrong, IA 50514-7432
Phone (507) 238-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
| Kevin Kimm DO,PC | Family Medicine | Past | Accepting new patients |
| United Hospital District Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Charles City, IA
- NPI 1215972567
-
- Rural Health Clinic/Center
- Fairmont, MN
- NPI 1144984766
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1831131580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S STATE ST",
"address_2": "SUITE 900",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314469",
"telephone_number": "507-238-4949",
"fax_number": "855-273-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S STATE ST",
"address_2": "SUITE 900",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314469",
"telephone_number": "507-238-4949",
"fax_number": "855-273-5489"
}
],
"practiceLocations": [
{
"address_1": "1820 Central Ave",
"address_purpose": "LOCATION",
"city": "Estherville",
"state": "IA",
"postal_code": "513342409",
"country_code": "US",
"telephone_number": "712-362-5236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "412 6th St",
"address_purpose": "LOCATION",
"city": "Armstrong",
"state": "IA",
"postal_code": "505147432",
"country_code": "US",
"telephone_number": "507-238-4949",
"fax_number": "507-238-3365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIMM",
"first_name": "KEVIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "50882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.