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Individual

KIMBERLY KAY KLEINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ARPN, FNP-C

Contact information

Practice address
100 KELLOGG DRIVE, MOUNTAIN CITY, TN 37683-4077
(423) 460-3232
(423) 460-3234
Mailing address
100 KELLOGG DRIVE, MOUNTAIN CITY, TN 37683-4077
(423) 460-3232
(423) 460-3234

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
25110
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548886385
NORTHEAST TENNESSEE HEALTH AND HOME CARE PLLC NPI
TN
01
1962979617
INDIVIDUAL NPI
TN
01
25110
TN LICENSE
TN
Enumeration date
10/31/2018
Last updated
09/01/2024
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