Individual
KIMBERLY RAE FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
920 S HARTMANN DR STE 310, LEBANON, TN 37090-4137
(615) 885-1093
(615) 885-1110
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
(901) 328-1355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7321
TN
363LF0000X
Family Nurse Practitioner
RN0000108974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6033858
BLUE CROSS/BLUE SHIELD
TN
05
—
Q010574
—
TN
Enumeration date
06/12/2006
Last updated
02/25/2026
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