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 is a Specialist 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
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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