Individual
KIMBERLY ANN HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 SECURITY DR, JACKSON, TN 38305-3754
(731) 215-2888
(731) 215-2752
Mailing address
25 SECURITY DR, JACKSON, TN 38305-3754
(731) 215-2888
(731) 215-2752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168928
UNISON
TN
05
—
3850931
—
TN
01
—
39401
TLC
TN
01
—
4105358
BLUE CROSS BLUE SHIELD
TN
01
—
626001636
HEALTH PARTNERS
TN
01
—
6391611
CIGNA
TN
Enumeration date
06/13/2005
Last updated
06/20/2013
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