institution
Sandy J. Kimmel, D.o., P.a.
Specialist in Raleigh, North Carolina
NPI 1992821482

Sandy J. Kimmel, D.o., P.a. is a Specialist based in Raleigh, NC. Sandy J. Kimmel, D.o., P.a. practices in Raleigh, NC. The NPI Number for Sandy J. Kimmel, D.o., P.a. is 1992821482 and holds a License No. 200400893 (North Carolina).

The current practice location address for Sandy J. Kimmel, D.o., P.a. is 3400 Executive Dr, Raleigh, NC and can be reached out via phone at 919-872-0390 and via fax at 919-872-0391.

Location: 3400 Executive Dr, Raleigh, NC, 27609-7476
institution
Provider Profile Details
NPI Number
1992821482
Provider Name
Sandy J. Kimmel, D.o., P.a.
Credential
Provider Entity Type
Organization
Address
3400 Executive Dr, Raleigh, NC, 27609-7476
Phone Number
919-872-0390
Fax Number
919-872-0391
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89137PC 05 NC
1598714313 01 NC INDIVIDUAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
3400 Executive Dr
City
State
Zip
27609-7476
Phone Number
919-872-0390
Fax Number
919-872-0391
person
Provider Business Mailing Address Details
Address
3400 Executive Dr
City
State
Zip
27609-7476
Phone Number
919-872-0390
Fax Number
919-872-0391
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
200400893 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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