Individual
KIMBERLY ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7806
(423) 778-2360
Mailing address
PO BOX 2930, INDIANAPOLIS, IN 46206-2930
(844) 468-9496
(855) 630-1300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN68007
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN09335
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000591533A
—
GA
05
—
009903020
—
AL
01
—
3040167
BLUE CROSS BLUE SHIELD TN
TN
01
—
430030815
RAILROAD MEDICARE
TN
05
—
8052355
—
NC
01
—
N410895
WELLCARE (GA MEDICAID)
GA
05
—
Q002762
—
TN
Enumeration date
11/24/2006
Last updated
09/21/2018
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