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NPI Code Detail

MEDICARE: KIMBERLY LUNA

MEDICARE: KIMBERLY LUNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianAR

General Provider Information

NPI Number : 1457107831
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LUNA
Provider Business Mailing Address
First Line : 3350 W MAIN ST
Second Line :
City : CABOT
State : AR
Zip : 72023-7463
Country : US
Telephone Number : 501-328-3274
Fax Number : 501-358-6264
Provider Business Practice Location Address
First Line : 3350 W MAIN ST
Second Line :
City : CABOT
State : AR
Zip : 72023-7463
Country : US
Telephone Number : 501-328-3274
Fax Number : 501-358-6264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2024
Last Update Date : 12/16/2025

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Directions to “ KIMBERLY LUNA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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