MEDICARE: KIMBERLY G HERRERA

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	3747A0650X	Attendant Care Provider		CA

General Provider Information

NPI Number	:	1952238396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY G HERRERA

Provider Business Mailing Address
First Line	:	6650 W WARM SPRINGS RD UNIT 2089
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-4618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9550 W RUSSELL RD UNIT 253
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5682
Country	:	US
Telephone Number	:	702-400-4586
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ KIMBERLY G HERRERA ” Practice Location

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