Individual
MR. STEPHEN MICHAEL KIMBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 SUNSET DRIVE, SUITE 11, JOHNSON CITY, TN 37604-7902
(423) 928-6174
(423) 926-2258
Mailing address
1321 SUNSET DRIVE, SUITE 11, JOHNSON CITY, TN 37604-7902
(423) 928-6174
(423) 926-2258
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us