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Contact Information

KIMORA A BIZAHALONI
HWY 160 MP 394.3
KAYENTA, AZ86033-0368
 Phone: 928-697-4100
 Fax: 928-697-4029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse's Aide

376K00000X
 

Technician

374700000X
Indicates primary specialty

NPI Profile & details for KIMORA A BIZAHALONI · (Female)

NPI # 1548120090
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • AZ Medicaid 060012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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