Individual
MRS. KIMBERLY ANN DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
988 OAK RIDGE TPKE STE 200, OAK RIDGE, TN 37830-6919
(865) 483-4366
(615) 867-8073
Mailing address
988 OAK RIDGE TPKE STE 200, OAK RIDGE, TN 37830-6919
(865) 483-4366
(615) 867-8073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522133
—
TN
05
—
36634311
—
TN
05
—
3730229
—
TN
Enumeration date
08/26/2005
Last updated
08/20/2024
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