Individual
KIMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3540 SUMMER AVE STE 405, MEMPHIS, TN 38122-3633
(901) 896-9626
Mailing address
3540 SUMMER AVE STE 405, MEMPHIS, TN 38122-3633
(901) 896-9626
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
99-1725002
TN
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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