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Individual

KIMBERLY WHITE LEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
260 FORT SANDERS WEST BLVD STE 110, KNOXVILLE, TN 37922-3355
(865) 558-4491
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4393
TN
225X00000X
Occupational Therapist
5337
NC
225XH1200X
Hand Occupational Therapist
OT12357
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1525364
TN
01
4305876
BLUECROSS BLUESHIELD
TN
01
6096499
CIGNA
TN
01
7259784
AETNA
01
P01005605
RAILROAD MEDICARE
TN
Enumeration date
04/05/2006
Last updated
01/14/2026
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