Kimmel, Sandy Jean
Kimmel, Sandy Jean is an sole proprietor health care provider with primary practice located at 3400 Executive Dr Suite 203, Raleigh NC 27609-7476. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kimmel, Sandy Jean can be contacted via phone (919) 872-0390.Contact Information
Primary practice address
3400 Executive Dr Suite 203
Raleigh NC 27609-7476
Phone: (919) 872-0390
Fax: (919) 872-0391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200400893 | North Carolina |
Profile Details
| NPI number | 1598714313 |
|---|---|
| LBN Legal business name | Kimmel, Sandy Jean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Jun 27th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598714313 | NPPES |
| North Carolina | MEDICAID | 89137PC | |
| North Carolina | Other | 137PC |
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