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NPI Code Detail

MEDICARE: KYLEIGH DOMINQUE MCNABB

MEDICARE: KYLEIGH DOMINQUE MCNABB
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
11041C0700XClinical Social WorkerLCSW137970CA

General Provider Information

NPI Number : 1295214724
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLEIGH DOMINQUE MCNABB
Provider Business Mailing Address
First Line : 15390 SITTING BULL ST
Second Line :
City : VICTORVILLE
State : CA
Zip : 92395-9645
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17800 US HIGHWAY 18
Second Line :
City : APPLE VALLEY
State : CA
Zip : 92307-1221
Country : US
Telephone Number : 559-241-4385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2018
Last Update Date : 04/07/2026

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Directions to “ KYLEIGH DOMINQUE MCNABB ” Practice Location

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