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NPI Code Detail

MEDICARE: DR. KIMBERLY COLLEEN SALAZAR M.D.

MEDICARE: DR. KIMBERLY COLLEEN SALAZAR M.D.
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
1207R00000XInternal Medicine PhysicianL8756TX
2207K00000XAllergy & Immunology PhysicianL8756TX

General Provider Information

NPI Number : 1528041290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY COLLEEN SALAZAR M.D.
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-3011
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR BLDG 7505
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-7129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2005
Last Update Date : 09/20/2022

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