Kimberly Tallon
NPI #1609173012 in Lake Grove, New York
Provider Information
- NPI Number
- 1609173012
- Entity Type
- Organization
- Organization Name
- Kimberly Tallon
- Primary Specialty
- Home Health
- Enumeration Date
- Feb 21, 2011
- Last Updated
- Feb 21, 2011
Practice Location
- Address
- 10 CONNELLY DR
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2966
- Phone
- (631) 889-6178
Authorized Official
- Name
- MISS KIMBERLY SUE TALLON
- Title
- LICENSED PRACTICAL NURSE
- Phone
- (631) 889-6178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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