Mathis, Kimberly D.

Mathis, Kimberly D. is an individual health care provider with primary practice located at 1600 Mcarthur Street , Manchester TN 37355. 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. Mathis, Kimberly D. can be contacted via phone (931) 723-7950.

Contact Information

Primary practice address
1600 Mcarthur Street Manchester TN 37355
Phone: (931) 723-7950
Fax: (931) 723-7815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000005806 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5806 Tennessee

Profile Details

NPI number 1427241421
LBN Legal business name Mathis, Kimberly D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Feb 28th, 2019 - about 6 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 1427241421 NPPES
Tennessee MEDICAID 1516755

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