Physician Management Services of Tennessee II, LLC
Organization Active NPI Family Medicine Physician · Kimball, TN
NPI 1659954576 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1659954576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- PHYSICIAN MANAGEMENT SERVICES OF TENNESSEE II, LLC
- Practice address
- 24 Mountain View Dr Ste a
Kimball, TN 37347-5478 - Phone
- (888) 829-8550
- NPI assigned
- Apr 29, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- VAXCARE CORPORATION
Authorized official
- Name
- Brett Kenefick
- Title
- President
- Phone
- (888) 829-8550
National Provider Directory
- Part of
- Vaxcare Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
24 Mountain View Dr Ste a
Kimball, TN 37347-5478
Mailing address
3113 Lawton Rd Ste 250
Orlando, FL 32803-3517
Other providers in Kimball, TN
- Rory D Justo
- K -VA -T Food Stores Inc
- Tracy Dewayne Kennemore
- Lakshmi Devi Kumar
- Chloe Morrison
- Sequatchie Valley Primary Care
- Skin Cancer and Cosmetic Dermatology Center PC
- Southern Rehab & Aquatics
- Brenda K. Sowter
- Wal-Mart Stores East LP
All providers in Kimball, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.