Kimbrough, Stephen Michael

Kimbrough, Stephen Michael is an individual health care provider with primary practice located at 1321 Sunset Drive Suite 11, Johnson City TN 37604-7902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kimbrough, Stephen Michael can be contacted via phone (423) 928-6174.

Contact Information

Primary practice address
1321 Sunset Drive Suite 11 Johnson City TN 37604-7902
Phone: (423) 928-6174
Fax: (423) 926-2258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD012583 Tennessee

Profile Details

NPI number 1851345235
LBN Legal business name Kimbrough, Stephen Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 8th, 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 1851345235 NPPES
Other 100027216 PHP CARITEN TENNCARE
Other 1292658 PHP CARITEN TENNCARE
Other A55605 PHP CARITEN TENNCARE
Other 026086900 PHP CARITEN TENNCARE
Other 130014283 PHP CARITEN TENNCARE
MEDICAID 3180257 PHP CARITEN TENNCARE
Other 602003807 PHP CARITEN TENNCARE
Other 0140000838 PHP CARITEN TENNCARE
Other 164888600 PHP CARITEN TENNCARE
MEDICAID 006190821 PHP CARITEN TENNCARE
Other 0014824 PHP CARITEN TENNCARE
Other 130014283 PHP CARITEN TENNCARE
Other 027897 PHP CARITEN TENNCARE
MEDICAID 7905920 PHP CARITEN TENNCARE
Other 05920 PHP CARITEN TENNCARE
MEDICAID 64796949 PHP CARITEN TENNCARE

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