MEDICARE: KABRINA HARVEY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	172A00000X	Driver
3	174H00000X	Health Educator
4	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1821328535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KABRINA HARVEY

Provider Business Mailing Address
First Line	:	6904 BRIER CREEK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6904 BRIER CREEK LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4321
Country	:	US
Telephone Number	:	702-426-2712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	01/06/2010

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Directions to “ KABRINA HARVEY ” Practice Location

Language	Start Address	Practice Location

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