Jack Kimmell
NPI 1740731116 · Student in an Organized Health Care Education/Training Program · South Bend, IN
Jack Kimmell is a Student in an Organized Health Care Education/Training Program provider in South Bend, IN (NPI 1740731116).
Provider details
- NPI number
- 1740731116
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 3925375607 (IN)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 3925375607 (IN)
Student, Health Care
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-20
- Last updated
- 2016-10-20
Frequently asked questions
- What is Jack Kimmell's NPI number?
- Jack Kimmell's National Provider Identifier (NPI) is 1740731116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kimmell's specialty?
- Jack Kimmell is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jack Kimmell located?
- Jack Kimmell's practice location on file with NPPES is 1526 East Lasalle, South Bend, IN 46617.
- What is Jack Kimmell's phone number?
- The practice phone number listed in the NPPES registry for Jack Kimmell is (574) 310-1911.
- Is Jack Kimmell's NPI active?
- Yes — Jack Kimmell's NPI (1740731116) is active in the NPPES registry as of the last update on 2016-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.