Provider Demographics
NPI:1477757391
Name:KIMBALL, JOYCE EVALYN HUNT
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:EVALYN HUNT
Last Name:KIMBALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SORRENTO ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-1243
Mailing Address - Country:US
Mailing Address - Phone:508-757-4964
Mailing Address - Fax:
Practice Address - Street 1:20 SORRENTO ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01602-1243
Practice Address - Country:US
Practice Address - Phone:508-757-4964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay