Kimberly Michelle Spoon, is a
Licensed Practical Nurse based in Corryton, Tennessee. Kimberly Michelle Spoon is licensed to practice in Tennessee (license number 81786) and her current practice location is
7400 Battle Creek Ln, Corryton, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 386-0727.
NPI number for Kimberly Michelle Spoon is 1740850775 and her current mailing address is 7400 Battle Creek Ln, Corryton, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740850775.
Provider's Profile
Full Name | Kimberly Michelle Spoon |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 7400 Battle Creek Ln, Corryton, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740850775
- Provider Enumeration Date: 07/01/2021
- Last Update Date: 07/01/2021
Medical Identifiers
Medical identifiers for Kimberly Michelle Spoon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740850775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 81786 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Michelle Spoon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Michelle Spoon, 7400 Battle Creek Ln, Corryton, TN 37721-7004 Ph: (865) 386-0727 | Kimberly Michelle Spoon, 7400 Battle Creek Ln, Corryton, TN 37721-7004 Ph: (865) 386-0727 |
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