Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Charles W Kimmel III

Individual provider Recovery Care Clinic/Center · NPI 1093623993

Charles W Kimmel III is a Recovery Care Clinic/Center in Sedro Woolley, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

1420 Sr 20
Sedro Woolley, WA 98284-1385
Phone: (360) 854-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recovery Care Clinic/Center (primary) Taxonomy 261QR0800X (WA)

Record details

NPI number1093623993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 2, 2026