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Contact Information

KIMBERLY D MATHIS, NP
1600 MCARTHUR STREET
MANCHESTER, TN37355
 Phone: 931-723-7950
 Fax: 931-723-7815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY D MATHIS · (Female)

NPI # 1427241421
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/22/2007
Last updated 02/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 5806
  • TN License # APN0000005806
  • TN Medicaid 1516755
Hospital affiliation(s) Not Available
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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