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NPI Code Detail

MEDICARE: KIMBERLY TOY

MEDICARE:   KIMBERLY  TOY
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
1363LF0000XFamily Nurse Practitioner820960NV

General Provider Information

NPI Number : 1497619050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY TOY
Provider Business Mailing Address
First Line : 4141 GANNET CIR UNIT 397
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-6334
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4141 GANNET CIR UNIT 397
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-6334
Country : US
Telephone Number : 602-581-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ KIMBERLY TOY ” Practice Location

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