Kimberly D Carter, REGISTERED NURSE

Individual provider Active NPI Registered Nurse · Lewisburg, TN

NPI 1124246541 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124246541
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN0000057175 (TN)
Practice address
206 Legion Ave
Lewisburg, TN 37091-2898
Phone
(931) 359-1551
Fax
(931) 424-0542
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN0000057175TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000057175 TN Yes

Addresses

Primary practice location

206 Legion Ave
Lewisburg, TN 37091-2898

Mailing address

1207 Powell School Rd
Goodspring, TN 38460-5217
Phone (931) 565-3223

Other providers in Lewisburg, TN

All providers in Lewisburg, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.