Nicole A Kimzey, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS013278 Issued in PA

Practice address

2625 W Girard Ave
Phila, PA 19130-1333

Phone

(215) 724-0517

Fax

(215) 724-1652

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1184868101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SYCAMORE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834407",
            "telephone_number": "215-219-2683",
            "fax_number": "215-724-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W GIRARD AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191301333",
            "telephone_number": "215-724-0517",
            "fax_number": "215-724-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMZEY",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS013278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Nichole Keyes, M.A.
• Youssef M Khaldi, B.A.
• Dennis J Khoury, M.D.
• John Y Kim
• Amanda Kimmel, MEDICAL CASE MANAGER
• Thomas Upsitur King III, D.D.S.
• George E Kinsler, RPH
• Jean H Kirk, MD
• Mimi Kirk, LCSW
• Caren Gever Kirschner, M.D.

• Internal Medicine Physician in Phila, PA
• Providers in Phila, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.