MEDICARE: KIMBERLEY MCMAHON

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
1	133V00000X	Registered Dietitian	40215-DI-1	NV

General Provider Information

NPI Number	:	1295681278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEY MCMAHON

Provider Business Mailing Address
First Line	:	3256 MONTE LUNA AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1873
Country	:	US
Telephone Number	:	435-760-9477
Fax Number	:

Provider Business Practice Location Address
First Line	:	3256 MONTE LUNA AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1873
Country	:	US
Telephone Number	:	435-760-9477
Fax Number	:

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

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ KIMBERLEY MCMAHON ” Practice Location

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