National Provider Identifier Database

KIMBERLY K NESBITT, MD – NPI #1336285246
Addiction Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.


Contact Information

KIMBERLY K NESBITT, MD
8900 DELTA BLUFF CV
WALLS, MS38680-4400
Phone: 662-510-4660
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2083A0300X
Anesthesiology 207L00000X

* Indicates primary specialty

NPI Profile & details for KIMBERLY K NESBITT

NPI Number 1336285246
Credentials MD
Entity Individual
Enumeration date 01/29/2007
Last updated 10/20/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • MS License #: 25590
  • TN License #: 30324
  • MS Medicaid: 06435820
  • TN Medicaid: 3833877
  • TN Other: 3101380 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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