Individual
DR. SANDY JEAN KIMMEL
Active
Individual
DR. SANDY JEAN KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200400893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137PC
BLUE CROSS/BLUE SHIELD
NC
05
—
89137PC
—
NC
Enumeration date
05/09/2006
Last updated
06/27/2011
Update your record
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