Individual
TAYLOR KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 BAYOU CROSSING DR, RACELAND, LA 70394-2050
(985) 258-7545
Mailing address
194 BAYOU CROSSING DR, RACELAND, LA 70394-2050
(985) 258-7545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
02/05/2018
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