Kerry Kimball in Gorham - Clinical

Kerry Kimball - NPI 1770768921

Kerry Kimball is a Clinical in Gorham, Maine. Kerry Kimball practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kerry Kimball is 1770768921. The last update date is 2008-04-17.

Kerry Kimball's current location address is Po Box 757, Gorham, Maine. You can contact this provider via phone number 2078392587 and fax number 2078396469. The mailing address for Kerry Kimball is Po Box 757, Gorham, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Kerry Kimball
Address Po Box 757, Gorham, Maine
Phone Number 2078392587
Fax Number 2078396469
Sole Proprietor N
Credentials E.D.D

NPI Number Detail

NPI Number 1770768921
Provider Enumeration Date 2008-01-07
Last Updated Date 2008-04-17

Provider Mailing Address Detail

Address Po Box 757
City Gorham
State Maine (ME)
Post Code 40380757
Phone Number 2078392587
Fax Number 2078396469

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PS574
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Kerry Kimball

What is the unique identification code assigned to Kerry Kimball by the Centers for Medicare & Medicaid Services?

The Kerry Kimball has been issued the NPI (National Provider Identifier) 1770768921. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kerry Kimball?

The Kerry Kimball is situated at Po Box 757, in the city of Gorham, state of ME, with the zip code 40380757.

What is Kerry Kimball's area of expertise and its corresponding taxonomy classification?

The Kerry Kimball's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1770768921 assigned to Kerry Kimball?

The Kerry Kimball was issued its 1770768921 on 2008-01-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kerry Kimball most recently updated or revised?

The details related to Kerry Kimball, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-17.

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