Tyler Graham Kimbrough in Edmonds - Otolaryngology
Tyler Graham Kimbrough - NPI 1720121361
Tyler Graham Kimbrough is a Otolaryngology in Edmonds, Washington. Tyler Graham Kimbrough practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Tyler Graham Kimbrough is 1720121361. The last update date is 2011-07-14.
Tyler Graham Kimbrough's current location address is 21616 76th Ave W, Edmonds, Washington. You can contact this provider via phone number 4257756651. The mailing address for Tyler Graham Kimbrough is 21616 76th Ave W, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyler Graham Kimbrough |
|---|---|
| Address | 21616 76th Ave W, Edmonds, Washington |
| Phone Number | 4257756651 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720121361 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2011-07-14 |
Provider Mailing Address Detail
| Address | 21616 76th Ave W |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980267512 |
| Phone Number | 4257756651 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD60667019 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G8882307 | WA | MEDICARE NON-KING CO. | |
| G8882308 | WA | MEDICARE KING CO |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tyler Graham Kimbrough by the Centers for Medicare & Medicaid Services?
The Tyler Graham Kimbrough has been assigned the NPI (National Provider Identifier) 1720121361 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Tyler Graham Kimbrough located?
The Tyler Graham Kimbrough is located at 21616 76Th Ave W, Edmonds, WA 980267512.
What is Tyler Graham Kimbrough's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tyler Graham Kimbrough's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date was the 1720121361 assigned to Tyler Graham Kimbrough?
The Tyler Graham Kimbrough was issued its 1720121361 on 2007-02-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tyler Graham Kimbrough most recently updated or refreshed?
The details pertaining to the Tyler Graham Kimbrough, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-14.