Most Relevant Information
Provider Data
| NPI Number: | 1003385980 |
| Provider Name: | MONICA KIMMEL MS, LAT, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/20/2018 |
| Last Updated: | 11/20/2018 |
Provider Practice Location
5500 34TH ST W
BRADENTON
FL
342103506
Practice Location Phone/Fax
| Phone: | 9417522448 |
| Fax: |
Provider Mailing Location
5500 34TH ST W
BRADENTON
FL
342103506
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |