Individual
DR. WILLIAM E KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1449 OLD WATERBURY RD, SUITE 304, SOUTHBURY, CT 06488-3926
(203) 267-2020
(203) 267-2021
Mailing address
1449 OLD WATERBURY RD, SUITE 304, SOUTHBURY, CT 06488-3926
(203) 267-2020
(203) 267-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001088
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4063194
—
CT
Enumeration date
09/22/2005
Last updated
02/23/2008
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