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1730166091

NPI Code Detail

MEDICARE: KIMBERLY BATES MD

MEDICARE: KIMBERLY BATES MD

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	208000000X	Pediatrics Physician	MD491493C	PA
2	207R00000X	Internal Medicine Physician	ME175034	FL
3	207R00000X	Internal Medicine Physician	21628	NV
4	207R00000X	Internal Medicine Physician	MD491493C	PA
5	208000000X	Pediatrics Physician	21628	NV
6	208M00000X	Hospitalist Physician	21628	NV

General Provider Information

NPI Number	:	1730166091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BATES MD

Provider Business Mailing Address
First Line	:	PO BOX 33269
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-3269
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 W CRAIG RD STE 220
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0329
Country	:	US
Telephone Number	:	702-616-5801
Fax Number	:	702-399-8431

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	02/27/2026

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Directions to “ KIMBERLY BATES MD” 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.

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