| Kimberly Webb Llc | |
|
1303 Riggs Chapel Rd Harriman TN 37748-7364 | |
| (865) 755-2496 | |
| Not Available |
| Full Name | Kimberly Webb Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1303 Riggs Chapel Rd, Harriman, Tennessee |
| Authorized Official Name and Position | Kimberly Elaine Webb (SOLE MEMBER--FNP) |
| Authorized Official Contact | 8657552496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Webb Llc 1303 Riggs Chapel Rd Harriman TN 37748-7364 Ph: (865) 755-2496 | Kimberly Webb Llc 1303 Riggs Chapel Rd Harriman TN 37748-7364 Ph: (865) 755-2496 |
| NPI Number | 1538552443 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Medicare PECOS PAC ID | 4183944739 |
|---|---|
| Medicare Enrollment ID | O20150521000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538552443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 19686 (Tennessee) | Primary |
| Provider Name | Kimberly Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427440114 PECOS PAC ID: 5092035642 Enrollment ID: I20150521000935 |
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