Kerry Kimmel
Nurse Practitioner, Family in New Haven, CT. Individual provider (NPI-1).
NPI number1649060740
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1649060740
- Entity type
- Individual (NPI-1)
- Name
- Kerry Kimmel
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2025
- Certification date
- May 11, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 14783 | CT | Yes |
Practice location
20 York StNew Haven, CT 06510-3220
Phone 203-688-4242
Mailing address
36 Miller RdMiddlefield, CT 06455-1229
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