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NPI Code Detail

MEDICARE: KIMBERLY MILLER TAYLOR CPNP-AC/PC

MEDICARE: KIMBERLY MILLER TAYLOR CPNP-AC/PC
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
1363LP0222XCritical Care Pediatric Nurse PractitionerAP132817TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306219605
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MILLER TAYLOR CPNP-AC/PC
Provider Business Mailing Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-7984
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-7984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2015
Last Update Date : 07/29/2024

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Directions to “ KIMBERLY MILLER TAYLOR CPNP-AC/PC” Practice Location

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