Dymond, Kimberly Ann
Dymond, Kimberly Ann is an individual health care provider with primary practice located at 988 Oak Ridge Tpke Ste 200 , Oak Ridge TN 37830-6919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dymond, Kimberly Ann can be contacted via phone (865) 483-4366.Contact Information
Primary practice address
988 Oak Ridge Tpke Ste 200
Oak Ridge TN 37830-6919
Phone: (865) 483-4366
Fax: (615) 867-8073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1248 | Tennessee |
Profile Details
| NPI number | 1649263419 |
|---|---|
| LBN Legal business name | Dymond, Kimberly Ann |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jun 12th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649263419 | NPPES |
| Tennessee | MEDICAID | 1522133 | |
| Tennessee | MEDICAID | 36634311 | |
| Tennessee | MEDICAID | 3730229 |
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