Kimmel, Craig S.

Kimmel, Craig S. is an individual health care provider with primary practice located at 1 Brace Road Suite B, Cherry Hill NJ 08034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kimmel, Craig S. can be contacted via phone (856) 470-9029.

Contact Information

Primary practice address
1 Brace Road Suite B Cherry Hill NJ 08034
Fax: (856) 428-4053
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 25MA05473800 New Jersey

Profile Details

NPI number 1255307591
LBN Legal business name Kimmel, Craig S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jun 25th, 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 1255307591 NPPES
New Jersey MEDICAID 2223902

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