Edwards, Kimini Amber Helton

Edwards, Kimini Amber Helton is an individual health care provider with primary practice located at 7506 Wolftever Trl , Ooltewah TN 37363-6216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Edwards, Kimini Amber Helton can be contacted via phone (423) 309-9927.

Contact Information

Primary practice address
7506 Wolftever Trl Ooltewah TN 37363-6216
Phone: (423) 309-9927
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN11389 Tennessee

Profile Details

NPI number 1245206283
LBN Legal business name Edwards, Kimini Amber Helton
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 5th, 2023 - about 2 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 1245206283 NPPES
Tennessee Other 4047501 BCBS
Tennessee Other 3631944 BCBS
Tennessee MEDICAID 3631944 BCBS

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