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Jackbarry Kimball
NPI 1972039931 · on the registry since 2017
Practice
- Address
- 397 Western Ave
South Portland, ME 04106 - Phone
- (207) 747-4929
- Fax
- (888) 214-0705
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine