Individual
KIMBERLY ROCHELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44474
KY
207Q00000X
Family Medicine Physician
52004
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
52004
TN
208M00000X
Hospitalist Physician
44474
KY
208M00000X
Hospitalist Physician
MD52005
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100164440
—
KY
Enumeration date
05/08/2009
Last updated
05/28/2020
Update your record
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