Individual
MS. KIMBERLY K. MCGLOTHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
508 BURKLEY CT, JOHNSON CITY, TN 37604-1613
(423) 956-0508
Mailing address
508 BURKLEY CT, JOHNSON CITY, TN 37604-1613
(423) 956-0508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7094
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3659517
—
TN
01
—
4092663
BLUE CROSS
TN
Enumeration date
05/12/2006
Last updated
07/17/2007
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