Individual
DR. GLENN P KIMBALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 MAIN ST, HAVERHILL, MA 01830-2644
(978) 374-4258
(978) 374-4982
Mailing address
680 MAIN ST, HAVERHILL, MA 01830-2644
(978) 374-4258
(978) 374-4982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
57624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3035913
—
MA
Enumeration date
09/27/2005
Last updated
12/17/2007
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