Kimball, Michelle S
Kimball, Michelle S is an individual health care provider with primary practice located at 1101 Carter Street , Chattanooga TN 37402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kimball, Michelle S can be contacted via phone (423) 490-7710.Contact Information
Primary practice address
1101 Carter Street
Chattanooga TN 37402
Phone: (423) 490-7710
Fax: (423) 490-7750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7392 | Tennessee |
Profile Details
| NPI number | 1699764084 |
|---|---|
| LBN Legal business name | Kimball, Michelle S |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 13th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699764084 | NPPES |
| Tennessee | MEDICAID | 4046834 | |
| Tennessee | MEDICAID | 00901128B |
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