Whalio Doctors

NPI 1366071375

Samuel Joseph Kimmell, DO

Practitioner Physical Medicine & Rehabilitation Physician South Bend, IN

Practice location

Address
53880 Carmichael Dr, South Bend, IN 46635-1567
Phone
(574) 247-9441
Mailing address
3600 W Bethel Ave, Muncie, IN 47304-5407

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 02008135A (IN)

Registry record

NPI
1366071375
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Apr 2020
Record last updated
8 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.