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Individual

KIM A COLLINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3815 HIGHWAY 66 S STE 5, ROGERSVILLE, TN 37857-5197
(423) 293-0202
(423) 293-0102
Mailing address
3815 HIGHWAY 66 S STE 5, ROGERSVILLE, TN 37857-5197
(423) 293-0202
(423) 293-0102

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD17566
TN
208D00000X
General Practice Physician
MD17566
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3023497
TN
Enumeration date
05/11/2006
Last updated
02/04/2026
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