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Individual

JAY REED KIMBERLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7 COURT ST, MONTPELIER, VT 05602-2856
(802) 223-3722
Mailing address
7 COURT ST, STE 3, MONTPELIER, VT 05602-2854
(802) 223-3115

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000209
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000-6623
VT
Enumeration date
07/21/2006
Last updated
04/22/2017
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