ETHAN KIMBALL

LEBANON, NH
NPI1700566890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NH  2155)
Enumeration Date2023-07-24
Last Update Date2024-03-04
Business Address
ETHAN KIMBALL PA-C
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number: 603-650-5000
Mailing Address
ETHAN KIMBALL PA-C
PO BOX 810
HANOVER, NH 03755-0810
Phone number: 603-308-1472
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