| Dr Kayla Kimbell, DO | |
|
5665 N Junction Way, Davis Junction, IL 61020-9433 | |
| (779) 696-9200 | |
| Not Available |
| Full Name | Dr Kayla Kimbell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 5665 N Junction Way, Davis Junction, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780024125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101020626 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 036-141879 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedishamerican Hospital | 5799698346 | 332 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kayla Kimbell, DO Po Box 78866, Milwaukee, WI 53278-8866 Ph: (779) 696-7150 | Dr Kayla Kimbell, DO 5665 N Junction Way, Davis Junction, IL 61020-9433 Ph: (779) 696-9200 |
Dr. Daniel R Retzer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 N. Junction Way, Davis Junction, IL 61020 Phone: 779-696-9200 | |
Dr. Timothy M Flynn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 N Junction Way, Davis Junction, IL 61020 Phone: 779-696-9200 | |
Cody Bianchetta, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5665 N Junction Way, Davis Junction, IL 61020 Phone: 797-696-9200 Fax: 815-645-1408 |