Qualls, Kimberly H

Qualls, Kimberly H is an individual health care provider with primary practice located at 7551 Dannaher Dr Suite 140, Powell TN 37849-4029. 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. Qualls, Kimberly H can be contacted via phone (865) 859-7420.

Contact Information

Primary practice address
7551 Dannaher Dr Suite 140 Powell TN 37849-4029
Phone: (865) 859-7420
Fax: (865) 859-7429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN16517 Tennessee

Profile Details

NPI number 1427321942
LBN Legal business name Qualls, Kimberly H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Apr 11th, 2017 - about 9 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 1427321942 NPPES
Tennessee MEDICAID 1527686

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