DAVID LEE KIMMER
NPI 1174007611
Student in an Organized Health Care Education/Training Program in Duluth, MN

Active since September 20, 2018
1200 KENWOOD AVE, DULUTH, MN 55811(218) 723-5906 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Lee Kimmer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID LEE KIMMER (NPI 1174007611) is an individual student in an organized health care education/training program in Duluth, Minnesota and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1174007611
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVID LEE KIMMER
Location Address1200 KENWOOD AVEDuluth, MN 55811-4199
Mailing Address1200 Kenwood AveDuluth, MN 55811-4199
Sole ProprietorNo
Enumeration DateSeptember 20, 2018
NPI 1174007611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1200 KENWOOD AVE, Duluth, MN 55811

Other Identifiers 2

Other2255A2300XSpecialist/technologist - Athletic Trainer
Other390200000XStudent In An Organized Health Care Education/training Program

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
Specialist/Technologist (Athletic Trainer)
1200 KENWOOD AVE
DULUTH, MN 55811
Registered Nurse (Psychiatric/Mental Health)
1200 KENWOOD AVE
DULUTH, MN 55811
Student in an Organized Health Care Education/Training Program
1200 KENWOOD AVE
DULUTH, MN 55811
Nurse Practitioner (Family)
1200 KENWOOD AVE
DULUTH, MN 55811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Kimmer's NPI number?

The NPI number for David Kimmer is 1174007611. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is David Kimmer located?

David Kimmer practices at 1200 Kenwood Ave, Duluth, MN 55811. The listed phone number is (218) 723-5906.

What is David Kimmer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for David Kimmer was last updated on September 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.