Individual
KIMBLY HERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5065 CHILDS DR, MEMPHIS, TN 38116-8612
(901) 650-2495
Mailing address
5065 CHILDS DR, MEMPHIS, TN 38116-8612
(901) 650-2495
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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