Kim, Kimberly

Kim, Kimberly is an individual health care provider with primary practice located at 2018 W Clinch Ave , Knoxville TN 37916-2301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kim, Kimberly can be contacted via phone (865) 541-8000.

Contact Information

Primary practice address
2018 W Clinch Ave Knoxville TN 37916-2301
Phone: (865) 541-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD39572 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD39572 Tennessee

Profile Details

NPI number 1790712115
LBN Legal business name Kim, Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790712115 NPPES
Kentucky MEDICAID 64104144
Kentucky Other 4107151
Kentucky MEDICAID 5440614

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