Individual
MRS. LOTTIE M. KIMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
814 JEFFERSON AVE, MEMPHIS, TN 38105-5041
(901) 544-7470
Mailing address
6933 FOX GAP, MEMPHIS, TN 38141-7339
(901) 367-0952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000054245
TN
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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