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NPI Code Detail

MEDICARE: KIMBERLY TAYLOR

MEDICARE: KIMBERLY TAYLOR
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1962761171
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY TAYLOR
Provider Business Mailing Address
First Line : 6437 HOME RUN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1717
Country : US
Telephone Number : 707-434-1200
Fax Number :
Provider Business Practice Location Address
First Line : 6437 HOME RUN DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-1717
Country : US
Telephone Number : 707-434-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2012
Last Update Date : 05/08/2012

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Directions to “ KIMBERLY TAYLOR ” Practice Location

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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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