Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandy J. Kimmel, DO, PA

Organization Specialist · NPI 1992821482

Sandy J. Kimmel, DO, PA provides Specialist services in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3400 Executive Dr Ste 203
Raleigh, NC 27609-7476 Not confirmed with CMS for 15 years — call before visiting
Phone: (919) 872-0390
Fax: (919) 872-0391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 200400893 (NC)

Record details

NPI number1992821482
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSandy J. Kimmel, D O, PA
Authorized official Bonnie Donleycott — Office Manager · (919) 872-0390
NPI enumeratedMarch 22, 2007
Last updated in NPPESJanuary 12, 2011
Mailing address3400 Executive Dr, Suite 203, Raleigh, NC 27609-7476

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