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Individual

KIMBERLY ANN A'HEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
508 E MORRIS ST, DALTON, GA 30721-3403
(423) 238-7217
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010170
GA
225100000X
Physical Therapist
PT7913
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0446652
TN
05
1501084
TN
01
3156797
BCBST GROUP
TN
Enumeration date
07/31/2007
Last updated
12/12/2019
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