JAY S KIMBRO (NPI# 1366063620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366063620 |
| Entity Type | Individual |
| Full Name | JAY S KIMBRO |
| Credential | RPSGT |
| Practice Address |
125 E Main St Stevensville MD 21666-4001 |
| Practice Telephone | 8657719123 |
| Mailing Telephone | 8657719123 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | PSN000036 | DC | Eye and Vision Services Providers |
| Street Address |
125 E MAIN ST |
| City | STEVENSVILLE |
| State | MD |
| Zip Code | 21666-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598122921 | Abintra Breakthrough Services, LLC | Speech-Language Pathologist | 201 Love Point Rd, Stevensville, MD 21666 | 2016-01-15 |
| 1740457985 | Eugene Robinson Mcninch IIi | Dentist | 1231 Shopping Center Road, Stevensville, MD 21666 | 2008-05-15 |
| 1306067574 | Heather Read | Physical Therapist | 604 Log Canoe Circle, Stevensville, MD 21666 | 2007-05-02 |
| 1164643177 | Christine Allyn Gebauer Fritsch | Physical Therapist | 155 Log Canoe Circle, Stevensville, MD 21666 | 2007-05-01 |
| 1225170681 | Dudley Katz | Dentist | 101 St Claire Place, Suite 102, Stevensville, MD 21666 | 2007-02-13 |
| 1922164177 | Catherine Marie Smithmyer | Psychologist | 155 Log Canoe Cir, Stevensville, MD 21666 | 2006-12-29 |
| 1134136393 | Lisa L. Anderson | Dermatology | 200 St. Claire Place, Suite 150, Stevensville, MD 21666 | 2006-08-01 |
| 1326053075 | Accurate Optical Co of Kent Island Inc | Optometrist | 130 Kent Landing, Kent Landing Shopping Center, Stevensville, MD 21666 | 2006-07-30 |
| 1639336985 | Ryan Scott Maisel | Dentist | 1231 Shopping Center Road, Stevensville, MD 21666 | 2008-05-22 |
| 1003938846 | Chesapeake Bay Psychological Services LLC | Psychologist | 155 Log Canoe Cir, Stevensville, MD 21666 | 2007-04-04 |
| Find all providers in zip 21666 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952925596 | Omoniigho Patrick Abeduo | Technician/Technologist | 6016 Nahant Rd, Baltimore, MD 21206-3133 | 2020-05-29 |
| 1033688791 | Allison Kurtz | Technician/Technologist | 1528 Sharen Dr Ste B, Salisbury, MD 21804-7969 | 2018-11-24 |
| 1629570718 | Lisa Benson | Technician/Technologist | 13341 Old Annapolis Rd, Mount Airy, MD 21771-7734 | 2018-03-05 |
| 1982212692 | Joelle Ysabella Latorre | Technician/Technologist | 400 E Pratt St Fl 8, Baltimore, MD 21202-3180 | 2020-07-20 |
| 1467076950 | Amaris Mae Jones | Technician/Technologist | 10411 Motor City Dr Ste 750, Bethesda, MD 20817-1289 | 2020-06-01 |
| 1942785258 | Abayomi A Awokeshinro | Technician/Technologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2018-10-02 |
| 1578040705 | Gentest Diagnostics Inc | Technician/Technologist | 13341 Old Annapolis Rd, Mount Airy, MD 21771-7734 | 2018-07-20 |
| 1780100735 | Zandra E. Cephas | Technician/Technologist | 202 Holly St, Fruitland, MD 21826-2005 | 2017-08-21 |
| 1437316742 | Emerging Vision Inc Dba Sterling Optical | Technician/Technologist | 1812 Pulaski Hwy, Edgewood, MD 21040 | 2008-05-22 |
| City | STEVENSVILLE |
| Zip Code | 21666 |
Please comment or provide details below to improve the information on JAY S KIMBRO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.