Provider Demographics
NPI:1255760369
Name:KIMMEL, HOWARD (RN)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:KIMMEL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PEAR ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3016
Mailing Address - Country:US
Mailing Address - Phone:302-736-0403
Mailing Address - Fax:302-736-5330
Practice Address - Street 1:350 PEAR ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3016
Practice Address - Country:US
Practice Address - Phone:302-736-0403
Practice Address - Fax:302-736-5330
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0028672163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool