Individual
MR. ROBERT HAROLD KIMBALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
205 SUB WAY, SUITE 101, MILFORD, CT 06461
(203) 874-1512
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12551
CT
Other
Enumeration date
10/30/2023
Last updated
11/01/2023
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