Individual
DR. KIMBERLY K NESBITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 DELTA BLUFF CV, WALLS, MS 38680-4400
(662) 510-4660
Mailing address
903 HARBOR VIEW DR, MEMPHIS, TN 38103-1554
(615) 604-7922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30324
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
25590
MS
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
30324
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06435820
—
MS
01
—
3101380
BCBS
TN
05
—
3833877
—
TN
Enumeration date
01/29/2007
Last updated
10/20/2023
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