Kimbro, Michael K

Kimbro, Michael K is an individual health care provider with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kimbro, Michael K can be contacted via phone (423) 727-1100.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (423) 727-1100
Fax: (423) 727-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD24044 Tennessee

Profile Details

NPI number 1831155951
LBN Legal business name Kimbro, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Dec 18th, 2009 - about 16 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 1831155951 NPPES
Tennessee Other TN01661 JOHN DEERE
Tennessee MEDICAID 3859222 JOHN DEERE
Tennessee Other 4062631 JOHN DEERE

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