Individual
MRS. KIMBERLY DEVAULT HYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PTA
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD NE, BUILDING 400, SUITE 125, ATLANTA, GA 30328-6773
(866) 587-9922
Mailing address
1865 SEVEN OAKS DR, MORRISTOWN, TN 37814-1475
(423) 736-7120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000128312
TN
225200000X
Physical Therapy Assistant
Primary
PTA0000004769
TN
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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