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NPI Code Detail

MEDICARE: HILDER KOMBO

MEDICARE:   HILDER  KOMBO
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
13747P1801XPersonal Care Attendant49425AR

General Provider Information

NPI Number : 1982462735
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILDER KOMBO
Provider Business Mailing Address
First Line : 8 JACK NICKLAUS CV
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72210-5051
Country : US
Telephone Number : 501-352-6253
Fax Number :
Provider Business Practice Location Address
First Line : 8 JACK NICKLAUS CV
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72210-5051
Country : US
Telephone Number : 501-352-6253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2024
Last Update Date : 04/04/2024

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Directions to “ HILDER KOMBO ” Practice Location

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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.