Individual
JAY ALLEN KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 ELM ST STE 302, ENFIELD, CT 06082-3739
(203) 253-0276
Mailing address
1000 ASYLUM AVE STE 2126, HARTFORD, CT 06105-1719
(860) 253-0276
(860) 547-1554
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
031614
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010031614CT01
ANTHEM / BCBS
CT
Enumeration date
10/28/2005
Last updated
09/12/2022
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