Kimball, Michelle S

Kimball, Michelle S is an individual health care provider with primary practice located at 1101 Carter Street , Chattanooga TN 37402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kimball, Michelle S can be contacted via phone (423) 490-7710.

Contact Information

Primary practice address
1101 Carter Street Chattanooga TN 37402
Phone: (423) 490-7710
Fax: (423) 490-7750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7392 Tennessee

Profile Details

NPI number 1699764084
LBN Legal business name Kimball, Michelle S
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 13th, 2016 - about 8 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 1699764084 NPPES
Tennessee MEDICAID 4046834
Tennessee MEDICAID 00901128B

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