Individual
MRS. KIMBERLY VESTORIA MCCLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2200 UNION AVE 1, MEMPHIS, TN 38104
(901) 726-1130
(901) 726-1132
Mailing address
2200 UNION AVE, MEMPHIS, TN 38104
(901) 726-1130
(901) 726-1132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22662
TN
363L00000X
Nurse Practitioner
Primary
902007
MS
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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