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NPI Code Detail

MEDICARE: ANDREW S. KIMMEL M.D.

MEDICARE:   ANDREW S. KIMMEL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianMD045462EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201204501OTHERPAIND. CAPITAL BLUE CROSS #
355492OTHERPAIND. HIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1316980022
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW S. KIMMEL M.D.
Provider Business Mailing Address
First Line : 800 OSTRUM ST.
Second Line : SUITE 100
City : BETHLEHEM
State : PA
Zip : 18015-1010
Country : US
Telephone Number : 484-526-3010
Fax Number : 484-526-3591
Provider Business Practice Location Address
First Line : 800 OSTRUM ST.
Second Line : SUITE 100
City : BETHLEHEM
State : PA
Zip : 18015-1010
Country : US
Telephone Number : 484-526-3010
Fax Number : 484-526-3591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 10/06/2016

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Directions to “ ANDREW S. KIMMEL M.D.” Practice Location

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