Individual
MRS. KIMBERLY MICHELLE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
820 GALE LN, NASHVILLE, TN 37204-3012
(615) 298-5406
(615) 577-4010
Mailing address
820 GALE LN, NASHVILLE, TN 37204-3012
(615) 298-5406
(615) 577-4010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-505
AR
363A00000X
Physician Assistant
Primary
PA0000002751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198732795
—
AR
Enumeration date
03/29/2013
Last updated
08/12/2015
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