Individual
KIMBERLY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(662) 356-1234
(901) 874-5850
Mailing address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(662) 356-1234
(901) 874-5850
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
I000000028235
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064797
—
TN
Enumeration date
04/09/2021
Last updated
04/09/2021
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