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Individual
MS. KIMBERLY A. THOMAS
Active
Individual
MS. KIMBERLY A. THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6394
TN
363LF0000X
Family Nurse Practitioner
RN82423
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1517675
MEDICAID GROUP NUMBER
TN
05
—
3904561
—
TN
01
—
4259723
BLUE CROSS OF TN GROUP NUMBER
TN
01
—
4265147
BLUE CROSS OF TN
TN
Enumeration date
01/27/2010
Last updated
02/14/2019
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