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NPI Code Detail

MEDICARE: KATELYN Z SIMS

MEDICARE: KATELYN Z SIMS
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
1106S00000XBehavior TechnicianBACB980781AZ

General Provider Information

NPI Number : 1770357550
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN Z SIMS
Provider Business Mailing Address
First Line : 1737 E CORTEZ DR
Second Line :
City : GILBERT
State : AZ
Zip : 85234-4962
Country : US
Telephone Number : 480-432-0093
Fax Number :
Provider Business Practice Location Address
First Line : 3215 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2425
Country : US
Telephone Number : 480-893-7685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 11/13/2023

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Directions to “ KATELYN Z SIMS ” Practice Location

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