Individual
MISS KIMBERLY BETH MACINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
400 GOODYS LN, KNOXVILLE, TN 37922-1900
(865) 288-8327
(865) 288-5903
Mailing address
256 FORT SANDERS WEST BLVD, STE 200, KNOXVILLE, TN 37922-3355
(865) 231-9481
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2091
TN
363A00000X
Physician Assistant
PA.892
AL
363A00000X
Physician Assistant
—
WV
Other
Enumeration date
10/20/2011
Last updated
12/14/2016
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