Kimball, Jennifer S

Kimball, Jennifer S is an individual health care provider with primary practice located at 77 Bates St Ste 102, Lewiston ME 04240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kimball, Jennifer S can be contacted via phone (207) 783-2300.

Contact Information

Primary practice address
77 Bates St Ste 102 Lewiston ME 04240
Phone: (207) 783-2300
Fax: (207) 783-2439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R045683 Maine

Profile Details

NPI number 1902871205
LBN Legal business name Kimball, Jennifer S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Apr 28th, 2011 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902871205 NPPES
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other 010424957 CHAMPUS
Other P0061 CHAMPUS
Other 010424957 CHAMPUS
Other 250012128 CHAMPUS
Other 010424957 CHAMPUS
Other 047308 CHAMPUS

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