IndividualActive
Jackbarry Kimball
NPI 1972039931 · Hearing Instrument Specialist · South Portland, ME
Provider details
- NPI number
- 1972039931
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DL419 (ME)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
397 Western Ave
South Portland, ME 04106-1705
Phone: (207) 747-4929
Fax: (888) 214-0705
Approximate (ZIP-level) locationGet directions
Mailing address
2501 Cottontail Ln
Somerset, NJ 08873-5125
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.