Individual
MRS. KIMBERLY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, NCS
Contact information
Practice address
930 MADISON AVE, ROOM 658, MEMPHIS, TN 38163-2243
(901) 448-5888
(901) 448-1411
Mailing address
930 MADISON AVE, ROOM 658, MEMPHIS, TN 38163-2243
(901) 448-5888
(901) 448-1411
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
3950
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446645
—
TN
01
—
3133295
BLUE CROSS BLUE SHIELD OF TN
TN
Enumeration date
03/15/2016
Last updated
03/15/2016
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