Organization
GLENN P KIMBALL
Active
Other names
Glenn P Kimball Jr MD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN P KIMBALL JR. M.D (OWNER)
(978) 374-4258
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
57624
MA
332B00000X
Durable Medical Equipment & Medical Supplies
1177510001
MA
Other
Enumeration date
12/17/2007
Last updated
12/05/2018
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