Kimmel, Brian B

Kimmel, Brian B is an sole proprietor health care provider with primary practice located at 4517 E Thompson St , Philadelphia PA 19137-2003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Nursing & Custodial Care Facilities / Custodial Care Facility. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kimmel, Brian B can be contacted via phone (215) 535-1275.

Contact Information

Primary practice address
4517 E Thompson St Philadelphia PA 19137-2003
Phone: (215) 535-1275
Fax: (215) 535-8690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS005625L Pennsylvania
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X OS-005625L Pennsylvania

Profile Details

NPI number 1528007176
LBN Legal business name Kimmel, Brian B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Sep 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528007176 NPPES
Pennsylvania MEDICAID 0011449090003

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