Individual
KIMBERLY WILDER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 BMH PHYSICIANS OFFICE BUILDING, MARYVILLE, TN 37804-3780
(865) 546-1642
(865) 681-7949
Mailing address
270 BMH PHYSICIAN OFFICE BUILDING, MARYVILLE, TN 37804-1527
(865) 546-1642
(865) 681-7949
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6167144
BCBS
TN
05
—
Q007725
—
TN
Enumeration date
03/15/2006
Last updated
04/05/2021
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