1316091119 NPI number — KIMBERLY SHANNON WILSON PHD

Table of content: KIMBERLY SHANNON WILSON PHD (NPI 1316091119)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316091119 NPI number — KIMBERLY SHANNON WILSON PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILSON
Provider First Name:
KIMBERLY
Provider Middle Name:
SHANNON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316091119
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
813 S NORTHSHORE DR
Provider Second Line Business Mailing Address:
STE 105
Provider Business Mailing Address City Name:
KNOXVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37919-7594
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-584-4005
Provider Business Mailing Address Fax Number:
865-584-5551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5401 KINGSTON PIKE
Provider Second Line Business Practice Location Address:
STE 170
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37919-5022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-584-4005
Provider Business Practice Location Address Fax Number:
865-584-5551
Provider Enumeration Date:
01/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  P0000002498 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3983201 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




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