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Contact Information

JAY A KIMMEL, MD
113 ELM ST STE 302
ENFIELD, CT06082-3739
 Phone: 203-253-0276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAY A KIMMEL · (Male)

NPI # 1699765727
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2005
Last updated 09/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 031614
  • CT Other 010031614CT01 ANTHEM / BCBS
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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