Individual
KIMBA J KEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2082
(731) 664-1988
Mailing address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2082
(731) 664-1988
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN 116453
TN
363L00000X
Nurse Practitioner
Primary
13420
TN
Other
Enumeration date
05/17/2007
Last updated
12/05/2014
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