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NPI Code Detail

MEDICARE: KIMBERLY CAY APRN

MEDICARE: KIMBERLY CAY APRN
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
1363LG0600XGerontology Nurse PractitionerH104281IA
2163W00000XRegistered Nurse104281IA
3363LA2200XAdult Health Nurse PractitionerH104281IA

General Provider Information

NPI Number : 1992981757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CAY APRN
Provider Business Mailing Address
First Line : 10175 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 309-205-9926
Fax Number :
Provider Business Practice Location Address
First Line : 10175 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 309-205-9926
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 06/23/2020

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Directions to “ KIMBERLY CAY APRN” Practice Location

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