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Individual

RONALD KIMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
893 MAIN ST, SUITE 202, EAST HARTFORD, CT 06108-2292
(860) 528-4124
(860) 282-1213
Mailing address
30 JORDAN LN, PRIME HEALTHCARE, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035962
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001359620
CT
01
010035962CT01
BCBS
CT
01
035962
MEDICAL LICENSE
CT
Enumeration date
12/23/2005
Last updated
03/07/2023
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