Provider Information for 1194023168
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. KIM VICTORIA TAYLOR LCAS
Sex: Female
NPI: 1194023168
Last Updated: 2024-09-26
Certification Date: 2024-09-26
Certification Date: 2024-09-26
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1194023168 | ||||||||||||
Enumeration Date | 2011-03-01 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 109 CAMBRIDGE PL SMITHFIELD, NC 27577-4717 United States Phone: 919-989-8114 | Fax:919-938-0503 | ||||||||||||
Primary Practice Address | 109 CAMBRIDGE PL SMITHFIELD, NC 27577-4717 United States Phone: 919-989-8114 | Fax:919-938-0503 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|