Craig S. Kimmel
Family Doctor - Sports Medicine
1 Brace Road Suite B
Cherry Hill
, New Jersey 08034
Craig S. Kimmel
Family Doctor - Sports Medicine
1 Brace Road Suite B
Cherry Hill
, New Jersey 08034
(856) 796-9397
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Craig S. Kimmel
- 500 Grove St Suite 100
- Haddon Heights, NJ
- Zip : 08035-1761
- Fax : (856) 796-9397
- Phone : (856) 796-9200
Second Address
- Craig S. Kimmel
- 1 Brace Road Suite B
- Cherry Hill, NJ
- Zip : 08034
- Fax : (856) 428-4053
- Phone : (856) 470-9029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 25MA05473800 | NJ |
National Provider Identifier
| NPI | 1255307591 |
|---|---|
| Provider Name | Craig S. Kimmel |
| First Address | Haddon Heights, NJ 08035-1761 |
| Second Address | Cherry Hill, NJ 08034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2006 |
| Last Update Date | 25/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2223902 | (05) | NJ |
| E55117 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.