Individual
MICHELLE S KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1101 CARTER STREET, CHATTANOOGA, TN 37402
(423) 490-7710
(423) 490-7750
Mailing address
1101 CARTER STREET, CHATTANOOGA, TN 37402
(423) 490-7710
(423) 490-7750
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901128B
—
GA
05
—
4046834
—
TN
Enumeration date
10/18/2005
Last updated
07/13/2016
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