Individual
KIMBERLY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
491 NELSON DR APT 15, NEWPORT NEWS, VA 23601-3430
(757) 602-6243
Mailing address
491 NELSON DR APT 15, NEWPORT NEWS, VA 23601-3430
(757) 602-6243
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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