Individual
KIM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 HOSPITAL WAY, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3681
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN143452
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/03/2011
Last updated
11/03/2011
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