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Individual

DR. TIMOTHY F HIMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3628
(423) 224-8502
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
16212
LA
2084N0400X
Neurology Physician
Primary
51187
TN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
16212
LA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
51187
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1349127
LA
Enumeration date
02/16/2007
Last updated
06/02/2014
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