Individual
DR. KIMBERLY JOY BEITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.149791
IL
207Q00000X
Family Medicine Physician
63604
TN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
036149791
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
63604
TN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
63604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068253
—
TN
Enumeration date
03/26/2016
Last updated
12/18/2025
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