Fisher, Kimberly R

Fisher, Kimberly R is an individual health care provider with primary practice located at 221 N Main St , Greeneville TN 37745-3815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fisher, Kimberly R can be contacted via phone (423) 787-6050.

Contact Information

Primary practice address
221 N Main St Greeneville TN 37745-3815
Fax: (423) 787-6054
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4206 Tennessee

Profile Details

NPI number 1689761694
LBN Legal business name Fisher, Kimberly R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 8th, 2022 - about 4 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 1689761694 NPPES
Tennessee MEDICAID Q065694

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