Individual provider · Type 1 NPI

Jay S. Kimbro, RPSGT

Technician/Technologist · Stevensville, MD

NPI number 1366063620 Active

Practice location

125 E Main St
Stevensville, MD 21666-4001

Call (865) 771-9123 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XPSN000036 (DC)

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

About NPI 1366063620

Jay S. Kimbro, RPSGT's National Provider Identifier is 1366063620, issued on Apr 28, 2020. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Stevensville, MD. The record was last updated on Apr 28, 2020.