Kimmes, Derek John

Kimmes, Derek John is an individual health care provider with primary practice located at 314 10Th Ave S Ste 100 , Waite Park MN 56387-1400. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Kimmes, Derek John can be contacted via phone (320) 200-1342.

Contact Information

Primary practice address
314 10Th Ave S Ste 100 Waite Park MN 56387-1400
Phone: (320) 200-1342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679265318
LBN Legal business name Kimmes, Derek John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2023
Last updated May 22nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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