Thomas, Kimberly A.

Thomas, Kimberly A. is an sole proprietor health care provider with primary practice located at 1750 Memorial Dr Suite B, Clarksville TN 37043-6356. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Thomas, Kimberly A. can be contacted via phone (931) 245-2086.

Contact Information

Primary practice address
1750 Memorial Dr Suite B Clarksville TN 37043-6356
Phone: (931) 245-2086
Fax: (931) 245-2087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN82423 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6394 Tennessee

Profile Details

NPI number 1861723066
LBN Legal business name Thomas, Kimberly A.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2010
Last updated Feb 14th, 2019 - about 5 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 1861723066 NPPES
Tennessee Other 4265147 BLUE CROSS OF TN
Tennessee Other 1517675 BLUE CROSS OF TN
Tennessee MEDICAID 3904561 BLUE CROSS OF TN
Tennessee Other 4259723 BLUE CROSS OF TN

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