IndividualActive
Jay Kimbro, RPSGT
NPI 1366063620 · Technician/Technologist · Stevensville, MD
Provider details
- NPI number
- 1366063620
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- RPSGT
- Sex
- Male
- Sole proprietor
- No
- License
- PSN000036 (DC)
Mailing address
125 E Main St
Stevensville, MD 21666-4001
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2020-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.