Russell, Kimberly Ann

Russell, Kimberly Ann is an sole proprietor health care provider with primary practice located at 300 Laboratory Rd , Oak Ridge TN 37830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Russell, Kimberly Ann can be contacted via phone (865) 482-7698.

Contact Information

Primary practice address
300 Laboratory Rd Oak Ridge TN 37830
Phone: (865) 482-7698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36903 Tennessee

Profile Details

NPI number 1194753293
LBN Legal business name Russell, Kimberly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Jan 10th, 2024 - about last year

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 1194753293 NPPES
Tennessee MEDICAID 3885411
Tennessee Other P00040818

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