Individual
MRS. KIMBERLY DODD BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
975 E 3RD ST, BX 159, CHATTANOOGA, TN 37403-2103
(423) 778-6170
(423) 778-6938
Mailing address
975 E 3RD ST # 159, CHATTANOOGA, TN 37403-2103
(423) 778-6170
(423) 778-6938
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN0000011042
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
APN0000011042
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650913387
TAX ID
TN
Enumeration date
04/10/2007
Last updated
02/21/2018
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