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NPI Code Detail

MEDICARE: MS. KIMBERLY LOREY

MEDICARE: MS. KIMBERLY LOREY
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 AssistantA00252KY

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 : 1508063876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KIMBERLY LOREY
Provider Business Mailing Address
First Line : 1425 S WEINBACH AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47714-2931
Country : US
Telephone Number : 270-826-9794
Fax Number : 270-826-6265
Provider Business Practice Location Address
First Line : 2500 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2005
Country : US
Telephone Number : 270-826-9794
Fax Number : 270-826-6265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2007
Last Update Date : 07/08/2007

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Directions to “ MS. KIMBERLY LOREY ” Practice Location

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