Provider Demographics
NPI:1609927417
Name:SEIPEL-CARROW, KIMBERLY A (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:A
Last Name:SEIPEL-CARROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWESTERN UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:633 EMERSON
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60208-0001
Mailing Address - Country:US
Mailing Address - Phone:847-491-8100
Mailing Address - Fax:847-491-5919
Practice Address - Street 1:NORTHWESTERN UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:633 EMERSON
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60208-0001
Practice Address - Country:US
Practice Address - Phone:847-491-8100
Practice Address - Fax:847-491-5919
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine