Provider Demographics
NPI:1104870476
Name:KIMBALL, HERVEY L III (MD)
Entity type:Individual
Prefix:DR
First Name:HERVEY
Middle Name:L
Last Name:KIMBALL
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:125 PARKER HILL AVE
Mailing Address - Street 2:HAND SURGICAL ASSOCIATES
Mailing Address - City:ROXBURY CROSSING
Mailing Address - State:MA
Mailing Address - Zip Code:02120-2847
Mailing Address - Country:US
Mailing Address - Phone:617-738-0857
Mailing Address - Fax:617-731-3109
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:HAND SURGICAL ASSOCIATES
Practice Address - City:ROXBURY CROSSING
Practice Address - State:MA
Practice Address - Zip Code:02120-2847
Practice Address - Country:US
Practice Address - Phone:617-738-0857
Practice Address - Fax:617-731-3109
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2023-12-04
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Provider Licenses
StateLicense IDTaxonomies
MA2077202086S0105X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand