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

JAY S KIMBRO, RPSGT

Active

JAY S KIMBRO, RPSGT is a Optician healthcare provider located in STEVENSVILLE, Maryland. NPI 1366063620 is currently active in the NPPES registry. Verify at CMS.

Optician · STEVENSVILLE, MD

Registration Details

NPI Number
1366063620
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2020 (6.3059184241209 yrs)
Last Updated
Apr 28, 2020
License
PSN000036 (DC)

Practice Information

Address
125 E MAIN ST
STEVENSVILLE, MD, 216664001
Browse MD providers · Browse ZIP 21666
Phone
8657719123
Primary Specialty
Optician
156F00000X
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.