Provider Demographics
NPI:1083984207
Name:TAYLOR, KIMBERLY D (MA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13918 E MISSISSIPPI AVE
Mailing Address - Street 2:#466
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3603
Mailing Address - Country:US
Mailing Address - Phone:720-505-3575
Mailing Address - Fax:303-481-8033
Practice Address - Street 1:14901 E GILL AVE UNIT C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3842
Practice Address - Country:US
Practice Address - Phone:720-505-3575
Practice Address - Fax:303-481-8033
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor