KIRK KENDALL KIMMONS LMBT
NPI 1699123919
Massage Therapist in New Bern, NC
- Individual
- Male
- Massage Therapist
About KIRK KIMMONS
This page provides the complete NPI Profile along with additional information for Kirk Kimmons, a provider established in New Bern, North Carolina with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1699123919 assigned on May 2016. The practitioner's primary taxonomy code is 225700000X with license number NC 13551 (NC). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1699123919 Verify this NPI
- Provider Name
- KIRK KENDALL KIMMONS LMBT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1505 S GLENBURNIE RD SUITE K NEW BERN, NC 28562
- Location Phone
- (252) 646-7181
- Mailing Address
- 101 E LARIAT LN HAVELOCK, NC 28532
- Mailing Phone
- (252) 646-7181
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-26-2016
- Last Update Date
- 05-26-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- NC 13551
- License State
- NC
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
NEW BERN, NC 28562
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699123919, enumerated as an "individual" on May 26, 2016.
The provider is located at 1505 S GLENBURNIE RD SUITE K NEW BERN, NC 28562 and the phone number is (252) 646-7181.
Massage Therapist with taxonomy code 225700000X.