Individual
RICHARD D KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 215, BOCA RATON, FL 33496-2658
(561) 477-0210
(561) 470-0198
Mailing address
1905 CLINT MOORE RD, SUITE 215, BOCA RATON, FL 33496-2658
(561) 477-0210
(561) 470-0198
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OS 6191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057435000
—
FL
Enumeration date
01/24/2007
Last updated
10/18/2012
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