MEDICARE: KIMBERLY D. SPERLING O.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
1	171100000X	Acupuncturist	1020	NV

General Provider Information

NPI Number	:	1962621730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY D. SPERLING O.M.D.

Provider Business Mailing Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	#13-132
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-265-6584
Fax Number	:	866-830-9806

Provider Business Practice Location Address
First Line	:	7915 W SAHARA AVE
Second Line	:	STE. 103
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1996
Country	:	US
Telephone Number	:	702-265-6584
Fax Number	:	866-830-9806

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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Directions to “ KIMBERLY D. SPERLING O.M.D.” Practice Location

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