Borum, Kristy

Borum, Kristy is an individual health care provider with primary practice located at 975 E 3Rd St , Chattanooga TN 37403-2147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Borum, Kristy can be contacted via phone (423) 778-7000.

Contact Information

Primary practice address
975 E 3Rd St Chattanooga TN 37403-2147
Phone: (423) 778-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 21720 Tennessee

Profile Details

NPI number 1659835429
LBN Legal business name Borum, Kristy
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2019
Last updated May 14th, 2024 - about 2 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 1659835429 NPPES
Tennessee MEDICAID Q046666

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