Individual provider · NPI-1

Adam William Kimmes, RN-BC

Registered Nurse, General Practice · Middletown, NY

NPI number1467895722
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1467895722
Entity type
Individual (NPI-1)
Name
Prof. Adam William Kimmes
Credential
RN-BC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 16, 2013
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice635414NYYes
163WP0808X Registered Nurse, Psych/Mental Health635414NY

Other names

  • Adam Kimmes (Other Name)

Practice location

18 Cobblestone Ln
Middletown, NY 10940-5089

Phone 845-883-8083

Mailing address

18 Cobblestone Ln
Middletown, NY 10940-5089

Phone 702-743-6402

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse, General Practice providers in Middletown, NY