Kimball, Kerry

Kimball, Kerry is an individual health care provider with primary practice located at 20 Mechanic St , Gorham ME 04038-1560. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kimball, Kerry can be contacted via phone (207) 839-2587.

Contact Information

Primary practice address
20 Mechanic St Gorham ME 04038-1560
Phone: (207) 839-2587
Fax: (207) 839-6469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS574 Maine

Profile Details

NPI number 1770768921
LBN Legal business name Kimball, Kerry
Credentials E.D.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Apr 17th, 2008 - about 17 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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