Organization
KIMBERLY TAYLOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DAWN TAYLOR M.S., CCC/SLP (SPEECH PATHOLOGIST/PRESIDENT)
(479) 629-6578
Entity
Organization
Contact information
Practice address
1844 PALOMINO DR, GREENWOOD, AR 72936-4974
(479) 629-6578
Mailing address
1844 PALOMINO DR, GREENWOOD, AR 72936-4974
(479) 629-6578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1443
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157948742
—
AR
Enumeration date
07/24/2008
Last updated
07/24/2008
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