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NPI Code Detail

MEDICARE: JEMARLO KIMONE TAYLOR JR.

MEDICARE: JEMARLO KIMONE TAYLOR JR.
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
1208100000XPhysical Medicine & Rehabilitation PhysicianA-1867NV

General Provider Information

NPI Number : 1699619379
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEMARLO KIMONE TAYLOR JR.
Provider Business Mailing Address
First Line : 7320 HALSEY CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-6084
Country : US
Telephone Number : 702-524-8555
Fax Number :
Provider Business Practice Location Address
First Line : 2550 NATURE PARK DR STE 250
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3206
Country : US
Telephone Number : 702-524-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ JEMARLO KIMONE TAYLOR JR. ” Practice Location

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