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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740335017 | NPPES |
Florida | MEDICAID | 057435000 |
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