Kimmel, Richard D

Kimmel, Richard D is an sole proprietor health care provider with primary practice located at 1905 Clint Moore Rd Suite 215, Boca Raton FL 33496-2658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kimmel, Richard D can be contacted via phone (561) 477-0210.

Contact Information

Primary practice address
1905 Clint Moore Rd Suite 215 Boca Raton FL 33496-2658
Phone: (561) 477-0210
Fax: (561) 470-0198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X OS 6191 Florida

Profile Details

NPI number 1740335017
LBN Legal business name Kimmel, Richard D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Oct 18th, 2012 - about 13 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 1740335017 NPPES
Florida MEDICAID 057435000

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