Individual
MRS. KIMBERLY CRUMBLEY ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(423) 778-7000
Mailing address
975 E 3RD ST, CHATTANOOGA, TN 37403-2173
(423) 778-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001947
VA
363A00000X
Physician Assistant
Primary
4808
TN
363A00000X
Physician Assistant
AP1949
MA
363A00000X
Physician Assistant
PA.200347
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04700372
—
MS
05
—
2115618
—
LA
Enumeration date
09/20/2006
Last updated
03/07/2024
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