Breeden, Kimberly Thompson

Breeden, Kimberly Thompson is an sole proprietor health care provider with primary practice located at 421 Old Riceville Rd Ste 2 , Athens TN 37303-3074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Breeden, Kimberly Thompson can be contacted via phone (423) 744-8755.

Contact Information

Primary practice address
421 Old Riceville Rd Ste 2 Athens TN 37303-3074
Phone: (423) 744-8755
Fax: (423) 744-8568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD019704 Tennessee

Profile Details

NPI number 1619920303
LBN Legal business name Breeden, Kimberly Thompson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Sep 1st, 2010 - about 15 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 1619920303 NPPES
Tennessee MEDICAID 5440439

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