Individual
MR. STEPHEN MICHAEL KIMBROUGH
Active
Individual
MR. STEPHEN MICHAEL KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD012583
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014824
BCBS
TN
05
—
006190821
—
VA
01
—
0140000838
CIGNA
—
01
—
026086900
BLACK LUNG COAL MINERS
—
01
—
027897
GM RETIREES
—
01
—
05920
NC STATE
NC
01
—
100027216
PHP CARITEN TENNCARE
—
01
—
1292658
UMWA
—
01
—
130014283
UNITED HEALTHCARE
—
01
—
164888600
OWCP DEPT OF LABOR
—
05
—
3180257
—
TN
01
—
602003807
PHP CARITEN
—
05
—
64796949
—
KY
05
—
7905920
—
NC
01
—
A55605
JOHN DEERE
—
Enumeration date
05/20/2006
Last updated
03/08/2016
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