Tedford, Kimberly Lynn

Tedford, Kimberly Lynn is an individual health care provider with primary practice located at 804 N Parkway , Jackson TN 38305-3058. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Tedford, Kimberly Lynn can be contacted via phone (731) 927-8525.

Contact Information

Primary practice address
804 N Parkway Jackson TN 38305-3058
Phone: (731) 927-8525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN0000066007 Tennessee

Profile Details

NPI number 1285832626
LBN Legal business name Tedford, Kimberly Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated Aug 15th, 2008 - about 17 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 1285832626 NPPES
Tennessee MEDICAID 4448133

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