Felts, Kimberly Rae

Felts, Kimberly Rae is an individual health care provider with primary practice located at 920 S Hartmann Dr Ste 310 , Lebanon TN 37090-4137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Felts, Kimberly Rae can be contacted via phone (615) 885-1093.

Contact Information

Primary practice address
920 S Hartmann Dr Ste 310 Lebanon TN 37090-4137
Phone: (615) 885-1093
Fax: (156) 885-1110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7321 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN0000108974 Tennessee

Profile Details

NPI number 1225070337
LBN Legal business name Felts, Kimberly Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 30th, 2022 - about 4 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 1225070337 NPPES
Tennessee MEDICAID Q010574
Tennessee Other 6033858

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