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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYLER KIMBAR

Active Sole Proprietor

TYLER KIMBAR is a Athletic Trainer healthcare provider located in SOUTH PORTLAND, Maine. NPI 1245788108 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SOUTH PORTLAND, ME

Registration Details

NPI Number
1245788108
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2016 (9.9299853493745 yrs)
Last Updated
Aug 9, 2019
License
AT 540 (ME)
Sole Proprietor
Yes

Practice Information

Address
119 GANNETT DR
SOUTH PORTLAND, ME, 041066942
Browse ME providers · Browse ZIP 04106
Phone
2077730040
Fax
2076614630
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SOUTH PORTLAND, ME

Name Credential NPI
RYAN A LUCAS A.T.C. 1144218389
KATHRYN MCCARTHY ATC, CMA, RMA 1992764385
NEIL K CARROLL ATC 1871534180
SARAH E DALY ATC 1912949108
MR. JASON DUANE ASDOURIAN ATC 1356355267
BETH THOMPSON MS, LATC 1871828616
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.