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NPI Code Detail

MEDICARE: KIMBERLY R DARLAND RN

MEDICARE:   KIMBERLY R DARLAND  RN
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
1163WS0200XSchool Registered Nurse1065174KY

General Provider Information

NPI Number : 1053472498
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY R DARLAND RN
Provider Business Mailing Address
First Line : 805 CHILESBURG CT
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-9421
Country : US
Telephone Number : 859-263-2113
Fax Number : 859-263-1672
Provider Business Practice Location Address
First Line : 650 NEWTOWN PIKE
Second Line :
City : LEXINGTON
State : KY
Zip : 40508-1113
Country : US
Telephone Number : 859-252-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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