Kimmel, Stephen G.

Kimmel, Stephen G. is an individual health care provider with primary practice located at 450 W Medical Center Blvd Suite 600C, Webster TX 77598-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kimmel, Stephen G. can be contacted via phone (281) 554-1690.

Contact Information

Primary practice address
450 W Medical Center Blvd Suite 600C Webster TX 77598-4234
Fax: (281) 316-0590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X ME90982 Florida

Profile Details

NPI number 1700892148
LBN Legal business name Kimmel, Stephen G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jan 25th, 2022 - about 3 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 1700892148 NPPES
Florida MEDICAID 270540100
Florida MEDICAID 009964275
Florida MEDICAID 09680055

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