Individual
KIMBERLY D. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/A
Contact information
Practice address
5959 SHALLOWFORD RD, SUITE 211, CHATTANOOGA, TN 37421-2285
(423) 648-4327
Mailing address
5959 SHALLOWFORD RD, SUITE 211, CHATTANOOGA, TN 37421-2285
(423) 648-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
209
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4077538
BLUECARE
TN
Enumeration date
09/02/2006
Last updated
07/08/2007
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