Provider Demographics
NPI:1962861674
Name:KIMMEY, STEVE ALBERT II (BS)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:ALBERT
Last Name:KIMMEY
Suffix:II
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:PA
Mailing Address - Zip Code:17268-1874
Mailing Address - Country:US
Mailing Address - Phone:717-473-4980
Mailing Address - Fax:717-473-4978
Practice Address - Street 1:1663 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:PA
Practice Address - Zip Code:17268-1874
Practice Address - Country:US
Practice Address - Phone:717-473-4980
Practice Address - Fax:717-473-4978
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARI-K1407011200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)