Annis, Kim A

Annis, Kim A is an individual health care provider with primary practice located at 1211 21St Ave S 220 Medical Arts Building, Nashville TN 37232-2702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Annis, Kim A can be contacted via phone (615) 322-0128.

Contact Information

Primary practice address
1211 21St Ave S 220 Medical Arts Building Nashville TN 37232-2702
Phone: (615) 322-0128
Fax: (615) 936-6977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2346 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2346 Tennessee

Profile Details

NPI number 1043220320
LBN Legal business name Annis, Kim A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043220320 NPPES
Tennessee MEDICAID Q003409

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