Kimball, Jacquelyn Renae
Kimball, Jacquelyn Renae is an individual health care provider with primary practice located at 421 N Main St , Leeds MA 01053-9764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kimball, Jacquelyn Renae can be contacted via phone (413) 584-4040.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 51632 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 255263 | Massachusetts |
Profile Details
| NPI number | 1881822419 |
|---|---|
| LBN Legal business name | Kimball, Jacquelyn Renae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2009 |
| Last updated | Oct 10th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881822419 | NPPES |
| Massachusetts | Other | 023060 | MBHP |
| Massachusetts | Other | 61082 | MBHP |
| Massachusetts | Other | J52483 | MBHP |
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