Kerry Kimball E.D.D

NPI 1770768921 - Psychologist - 103TC0700X

NPI Details
NPI 1770768921
Gender Male
Enumeration Date 01/07/2008
Last Updated 04/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
20 MECHANIC ST
GORHAM ME, 04038-1560, US
Phone (207) 839-2587
Fax (207) 839-6469
Business Location
PO BOX 757
GORHAM ME, 04038-0757, US
Phone (207) 839-2587
Fax (207) 839-6469
Toxanomy
Taxonomy Code 103TC0700X
License State Maine
License Number PS574
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According to our database, Kerry Kimball E.D.D NPI is 1770768921, taxonomy code is 103TC0700X and license number is PS574, license state is located at Maine. Kerry Kimball E.D.D physically located at 20 Mechanic St, Gorham ME, 04038-1560. NPI Number Kerry Kimball E.D.D has the Individual type.

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1770768921 NPI number is provided on an as is basis without warranty of any kind. 1770768921 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Kimball E.D.D are for informational purposes only.