Individual
PETE MICHAEL KIMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7671
Mailing address
124 GRAYSON LN, WHITE HOUSE, TN 37188-3001
(615) 420-5435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37933
TN
Other
Enumeration date
09/30/2021
Last updated
02/10/2025
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