Norwood, Kimberly Kaye

Norwood, Kimberly Kaye is an individual health care provider with primary practice located at 1720 E Reelfoot Ave Ste 200 , Union City TN 38261-6049. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Norwood, Kimberly Kaye can be contacted via phone (731) 507-0272.

Contact Information

Primary practice address
1720 E Reelfoot Ave Ste 200 Union City TN 38261-6049
Phone: (731) 507-0272
Fax: (731) 507-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN14751 Tennessee

Profile Details

NPI number 1164744090
LBN Legal business name Norwood, Kimberly Kaye
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2010
Last updated Oct 5th, 2022 - about 3 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 1164744090 NPPES
Tennessee Other 0905 GROUP (PTAN )
Tennessee MEDICAID 1519877 GROUP (PTAN )
Tennessee Other 103I502866 GROUP (PTAN )

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