Provider Demographics
NPI:1285677005
Name:KIMMEL AND ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:KIMMEL AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-954-3010
Mailing Address - Street 1:800 OSTRUM ST.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1010
Mailing Address - Country:US
Mailing Address - Phone:610-954-3010
Mailing Address - Fax:610-954-3591
Practice Address - Street 1:800 OSTRUM ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1010
Practice Address - Country:US
Practice Address - Phone:610-954-3010
Practice Address - Fax:610-954-3591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018251980002Medicaid
PA141090OtherHIGHMARK BLUE SHIELD #
PA02351600OtherCAPITAL BLUE CROSS GROUP#
PA0018251980002Medicaid