SANDY J. KIMMEL, D.O., P.A.
NPI 1992821482
Specialist in Raleigh, NC

Active since March 22, 2007
3400 EXECUTIVE DR, SUITE 203, RALEIGH, NC 27609(919) 872-0390(919) 872-0391 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandy J. Kimmel, D.o., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDY J. KIMMEL, D.O., P.A. (NPI 1992821482) is a healthcare organization registered as a specialist in Raleigh, North Carolina and active in the NPI registry since March 2007. The organization lists Bonnie Donleycott, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992821482
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSANDY J. KIMMEL, D.O., P.A.
Location Address3400 EXECUTIVE DR, SUITE 203Raleigh, NC 27609-7476
Mailing Address3400 Executive Dr, Suite 203Raleigh, NC 27609-7476 · (919) 872-0390 · Fax (919) 872-0391
Fax(919) 872-0391
Organization SubpartYesParent: Sandy J. Kimmel, D.o, P.a.
Authorized OfficialBonnie DonleycottOffice Manager · (919) 872-0390
Enumeration DateMarch 22, 2007
Last NPPES UpdateJanuary 12, 2011
NPI 1992821482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 200400893
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3400 EXECUTIVE DR, Raleigh, NC 27609

Other Identifiers 4

Other1598714313NC · Individual Npi Number
Medicaid89137PCNC
Medicare UPINI15766NC
Medicare ID-Type Unspecified2402208NC · Medicare Provider No.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3400 EXECUTIVE DR
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 101
RALEIGH, NC 27609
Dietitian, Registered
3400 EXECUTIVE DR
RALEIGH, NC 27609
Psychiatry & Neurology (Neurology)
3400 EXECUTIVE DR, SUITE 203
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 201
RALEIGH, NC 27609
Physician Assistant (Medical)
3400 EXECUTIVE DR, SUITE 102
RALEIGH, NC 27609
Psychologist
3400 EXECUTIVE DR, SUITE 205
RALEIGH, NC 27609
Family Medicine
3400 EXECUTIVE DR, SUITE 102
RALEIGH, NC 27609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy J. Kimmel, D.O., P.A.'s NPI number?

The NPI number for Sandy J. Kimmel, D.O., P.A. is 1992821482. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Sandy J. Kimmel, D.O., P.A. located?

Sandy J. Kimmel, D.O., P.A. is located at 3400 Executive Dr Suite 203, Raleigh, NC 27609. The listed phone number is (919) 872-0390.

What is Sandy J. Kimmel, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sandy J. Kimmel, D.O., P.A. was last updated on January 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.