Organization
DR. JAY KIMBERLEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KIMBERLEY OD (PRESIDENT)
(802) 223-3722
Entity
Organization
Contact information
Practice address
7 COURT ST, MONTPELIER, VT 05602-2856
(802) 223-3722
Mailing address
7 COURT ST, MONTPELIER, VT 05602-2856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000209
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012239
—
VT
Enumeration date
05/31/2007
Last updated
08/22/2020
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