Kimberly M Rohaley MD LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

43204 Issued in TN

Legal business name

KIMBERLY M ROHALEY MD LLC

Doing business as

Kids Care

Practice address

202 Hillside Dr
Pulaski, TN 38478-4566

Phone

(931) 207-8397

Fax

(931) 207-8394

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly M Rohaley, MD

Title

MD

Phone

(931) 207-8397

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kids Care Doing business as

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1346426822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HILLSIDE DR",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784566",
            "telephone_number": "931-207-8397",
            "fax_number": "931-207-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HILLSIDE DR",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784566",
            "telephone_number": "931-207-8397",
            "fax_number": "931-207-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M ROHALEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "ROHALEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "931-207-8397",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "43204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.