Individual
KIMBERLY A TILGHMAN-BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 BROADWAY ST, SOUTH FULTON, TN 38257-2835
(731) 479-2606
(731) 479-2610
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37882
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284799
ANTHEM PROV NUMBER
KY
05
—
64065899
—
KY
Enumeration date
11/15/2005
Last updated
03/23/2020
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