Individual
BRANDY KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 E MAIN ST, DOVER FOXCROFT, ME 04426-1246
(207) 564-3463
Mailing address
207 E MAIN ST, DOVER FOXCROFT, ME 04426-1246
(207) 564-3463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OA2933
ME
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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