Douglas Finn Kimbro

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6129 Issued in TN

Practice address

140 Thorne Blvd
Gallatin, TN 37066-1509

Phone

(615) 457-0788

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1154897676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GWEN AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662624",
            "telephone_number": "615-202-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THORNE BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661509",
            "telephone_number": "615-457-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRO",
        "first_name": "DOUGLAS",
        "middle_name": "FINN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Keown
• Savannah D Ketterer, PA-C
• Wardah Khan, NP
• Suzette Ann Denise Kilgore, M.D.
• Bora Kim, DMD
• Jeffrie C Kindred, DO
• Alton S King Jr., M.D.
• Matthew S King, MD
• Justin Andrew Kirby, PHARMD
• James Watson Kirkconnell, O.D.

• Physical Therapy Assistant in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.