Individual
PROF. TARA BETH KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
781 STONEY FORK RD, SNEEDVILLE, TN 37869-4643
(423) 272-7641
(423) 921-8073
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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