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Individual

DR. FRED TAYLOR KIMBRELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
706 BAY CT, OLD HICKORY, TN 37138-1001
(615) 754-7121
(615) 758-6767
Mailing address
706 BAY CT, OLD HICKORY, TN 37138-1001
(615) 754-7121
(615) 758-6767

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
05454
MS
208600000X
Surgery Physician
Primary
MD0000009076
TN

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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