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NPI Code Detail

MEDICARE: LAUREN ASHLEY KIMBELL

MEDICARE: LAUREN ASHLEY KIMBELL
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
1103TS0200XSchool PsychologistAZ

General Provider Information

NPI Number : 1568183267
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ASHLEY KIMBELL
Provider Business Mailing Address
First Line : 15802 N PARKVIEW PL
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-7466
Country : US
Telephone Number : 909-532-1251
Fax Number :
Provider Business Practice Location Address
First Line : 15802 N PARKVIEW PL
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-7466
Country : US
Telephone Number : 623-523-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 03/26/2026

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Directions to “ LAUREN ASHLEY KIMBELL ” Practice Location

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