Individual
KIMI KAY GUFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2137 VOLUNTEER PKWY STE 5, BRISTOL, TN 37620-6717
(423) 722-5000
(423) 722-5130
Mailing address
2137 VOLUNTEER PKWY STE 5, BRISTOL, TN 37620-6717
(423) 722-5000
(423) 722-5130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5014858
NC
363LF0000X
Family Nurse Practitioner
ARNP9191490
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
14800
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003698400
—
FL
05
—
Q065996
—
TN
Enumeration date
05/05/2010
Last updated
03/25/2022
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