Individual
SUSAN E KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RICHMOND HOSPITAL, 27100 CHARDON ROAD, RICHMOND HEIGHTS, OH 44143
(216) 844-1740
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-059431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224289
UNISON
OH
01
—
000000532976
ANTHEM
OH
05
—
0782934
—
OH
01
—
260016357
RAILROAD MEDICARE
OH
01
—
363703
WELLCARE MEDICAID
OH
01
—
4667187
AETNA
—
01
—
P00457952
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
12/07/2020
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