Individual
DR. STEPHEN G. KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W MEDICAL CENTER BLVD, SUITE 600C, WEBSTER, TX 77598-4234
(281) 554-1690
(281) 316-0590
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, P.O. BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME90982
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964275
—
AL
05
—
09680055
—
MS
05
—
270540100
—
FL
Enumeration date
07/31/2006
Last updated
01/25/2022
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