Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay S Kimbro, RPSGT

Individual provider Technician/Technologist · NPI 1366063620

Jay S Kimbro, RPSGT is a Technician/Technologist in Stevensville, Maryland. Licensed in District of Columbia. Registered with an NPI since 2020.

Licensed in
DC
In the registry since
2020
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Practice location Address checks out

125 E Main St
Stevensville, MD 21666-4001
Phone: (865) 771-9123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence PSN000036 (DC)

Record details

NPI number1366063620
Entity typeIndividual (Type 1)
GenderMale
Credentials RPSGT
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 28, 2020
Certification dateApril 28, 2020