Individual
KIMBERLY D. MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 MCARTHUR STREET, MANCHESTER, TN 37355
(931) 723-7950
(931) 723-7815
Mailing address
1600 MCARTHUR STREET, MANCHESTER, TN 37355
(931) 723-7950
(931) 723-7815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5806
TN
363L00000X
Nurse Practitioner
APN0000005806
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516755
—
TN
Enumeration date
08/22/2007
Last updated
02/28/2019
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