Individual provider · Type 1 NPI

Kevin W. Kimmel, PA-C

Medical Physician Assistant · Middletown, CT

NPI number 1164838587 Active

Practice location

28 Crescent St
Middletown, CT 06457-3654

Other practice locations

  • 12 Bokum Rd, Essex, CT 06426-1500 · (860) 767-9053

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X3141 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1164838587

Kevin W. Kimmel, PA-C's National Provider Identifier is 1164838587, issued on Jul 7, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Middletown, CT. The record was last updated on Aug 5, 2025.