Individual
TIMOTHY KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 ROGERS RD, KITTERY, ME 03904-1453
(207) 439-9924
Mailing address
PO BOX 189, KITTERY, ME 03904-0189
(207) 439-9924
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
1254
ME
207Q00000X
Family Medicine Physician
Primary
1254
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30002502
—
NH
Enumeration date
10/03/2006
Last updated
09/11/2025
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