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NPI Code Detail

MEDICARE: KYMBIR EVANS

MEDICARE: KYMBIR EVANS
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
1225200000XPhysical Therapy Assistant05706OH

General Provider Information

NPI Number : 1467851543
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYMBIR EVANS
Provider Business Mailing Address
First Line : 101 MILLS PL
Second Line :
City : NEW LEBANON
State : OH
Zip : 45345-1430
Country : US
Telephone Number : 937-687-1311
Fax Number :
Provider Business Practice Location Address
First Line : 101 MILLS PL
Second Line :
City : NEW LEBANON
State : OH
Zip : 45345-1430
Country : US
Telephone Number : 937-687-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2014
Last Update Date : 08/14/2014

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Directions to “ KYMBIR EVANS ” Practice Location

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