Individual
KIMBERLY S. TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-7120
(615) 873-8621
Mailing address
925 MOUNT PLEASANT RD, KINGSTON SPRINGS, TN 37082-8104
(615) 378-1086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 11695
FL
124Q00000X
Dental Hygienist
DH 31 008360
OH
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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