MEDICARE: ANTIONETTE KIMBREW OTR/L

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
1	225X00000X	Occupational Therapist	17-0962	NV

General Provider Information

NPI Number	:	1508362302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTIONETTE KIMBREW OTR/L

Provider Business Mailing Address
First Line	:	2662 N. BUFFALO DRIVE
Second Line	:	UNIT 1407
City	:	LAS VEGAS
State	:	NV
Zip	:	89128
Country	:	US
Telephone Number	:	773-675-0815
Fax Number	:

Provider Business Practice Location Address
First Line	:	2662 N. BUFFALO DRIVE
Second Line	:	UNIT 1407
City	:	LAS VEGAS
State	:	NV
Zip	:	89128
Country	:	US
Telephone Number	:	773-675-0815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	04/02/2018

Similar Medicare Providers

1669009742 — KATRINA EQUINOX LOPEZ
Practice Location Address:

2720 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-579-3203
Practice Fax:

1245832013 — JOSHUA MICHAEL WELTHA PA-C
Practice Location Address:

2901 N TENAYA WAY STE 100
LAS VEGAS, NV
89128-1404

Practice Phone: 702-870-8852
Practice Fax:

1366169898 — GINSBURG NEUROLOGY, PLLC
Practice Location Address:

7151 CASCADE VALLEY CT STE 103
LAS VEGAS, NV
89128-0497

Practice Phone: 725-268-7151
Practice Fax:

1922007913 — YU TIAN M.D.
Practice Location Address:

7250 PEAK DR STE 100
LAS VEGAS, NV
89128-9028

Practice Phone: 702-386-4700
Practice Fax: 702-386-4701

1902792757 — NOVAPATH INTEGRATIVE HEALTH ODIWO PLLC
Practice Location Address:

8440 W LAKE MEAD BLVD STE 207
LAS VEGAS, NV
89128-7648

Practice Phone: 725-240-0206
Practice Fax: 725-244-8042

1497121545 — MR. JONATHAN HERNANDEZ PA-C
Practice Location Address:

2716 N TENAYA WAY
LAS VEGAS, NV
89128-0424

Practice Phone: 702-877-5199
Practice Fax: 858-258-6741

1669180329 — NICOLE MARIE WALKER MS
Practice Location Address:

7251 W LAKE MEAD BLVD STE 300
LAS VEGAS, NV
89128-8380

Practice Phone: 702-327-5504
Practice Fax:

Directions to “ ANTIONETTE KIMBREW OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.