Perry, Kimberly Ann

Perry, Kimberly Ann is an sole proprietor health care provider with primary practice located at 3651 Tullahoma Hwy , Winchester TN 37398-4940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perry, Kimberly Ann can be contacted via phone (931) 962-4082.

Contact Information

Primary practice address
3651 Tullahoma Hwy Winchester TN 37398-4940
Phone: (931) 962-4082
Fax: (931) 962-4084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6754 Tennessee

Profile Details

NPI number 1457316630
LBN Legal business name Perry, Kimberly Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Aug 6th, 2008 - about 16 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 1457316630 NPPES
Tennessee MEDICAID 3724619
Tennessee Other 3724619
Tennessee Other 3724619

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