Individual
KIMBERLY H QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7551 DANNAHER DR, SUITE 140, POWELL, TN 37849-4029
(865) 859-7420
(865) 859-7429
Mailing address
7551 DANNAHER DR, SUITE 140, POWELL, TN 37849-4029
(865) 859-7420
(865) 859-7429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN16517
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527686
—
TN
Enumeration date
02/14/2012
Last updated
04/11/2017
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