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Contact Information

GLENN P KIMBALL
680 MAIN ST
HAVERHILL, MA01830-2644
 Phone: 978-374-4258
 Fax: 978-374-4982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GLENN P KIMBALL · (Female)

NPI # 1689857328
Status Active
Credentials
Entity Individual
Enumeration date 12/17/2007
Last updated 12/05/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 1177510001
  • MA License # 57624
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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