Neal, Kimerly A
Neal, Kimerly A is an individual health care provider with primary practice located at 401 Sewell Dr , Sparta TN 38583-1223. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Neal, Kimerly A can be contacted via phone (931) 738-4395.Contact Information
Primary practice address
401 Sewell Dr
Sparta TN 38583-1223
Phone: (931) 738-4395
Fax: (931) 738-4330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN0000005782 | Tennessee |
Profile Details
| NPI number | 1689668105 |
|---|---|
| LBN Legal business name | Neal, Kimerly A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Aug 20th, 2019 - about 7 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 | 1689668105 | NPPES |
| Tennessee | Other | 4137186 | BC/BS TN - MCMINNVILLE |
| Tennessee | MEDICAID | 3905395 | BC/BS TN - MCMINNVILLE |
| Tennessee | Other | 4139731 | BC/BS TN - MCMINNVILLE |
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