Individual
CARLA D KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P1063
TN
Other
Enumeration date
01/24/2007
Last updated
05/20/2014
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