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NPI Code Detail

MEDICARE: KYMBERLIE KIMBLE

MEDICARE: KYMBERLIE KIMBLE
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 Attendant

General Provider Information

NPI Number : 1407713225
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYMBERLIE KIMBLE
Provider Business Mailing Address
First Line : 9788 GILESPIE ST STE D-400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7604
Country : US
Telephone Number : 702-551-4155
Fax Number : 702-718-0342
Provider Business Practice Location Address
First Line : 9788 GILESPIE ST STE D-400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7604
Country : US
Telephone Number : 702-551-4155
Fax Number : 702-718-0342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ KYMBERLIE KIMBLE ” Practice Location

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