Individual
KIMBERLY BACOLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8291 PALLADIUM ST, LAS VEGAS, NV 89113-4133
(702) 521-7190
Mailing address
8291 PALLADIUM ST, LAS VEGAS, NV 89113-4133
(702) 521-7190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
870538
NV
Other
Enumeration date
09/11/2023
Last updated
08/28/2025
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