Individual
JACKBARRY KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
397 WESTERN AVE, SOUTH PORTLAND, ME 04106-1705
(207) 747-4929
(888) 214-0705
Mailing address
2501 COTTONTAIL LN, SOMERSET, NJ 08873-5125
(732) 529-7120
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
DL419
ME
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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