Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD.28868 | AL |
N | 207PP0204X | Pediatric Emergency Physician | MD49810 | TN |
N | 208000000X | Pediatrician | MD.28868 | AL |
Y | 2080P0204X | Pediatric Emergency Doctor | 49810 | TN |
N | 2080P0204X | Pediatric Emergency Doctor | MD49810 | TN |
NPI | 1760539571 |
---|---|
Provider Name | Dr. Kimberly Gran Naftel |
First Address | Nashville, TN 37232-9001 |
Second Address | Nashville, TN 37232-9001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 05/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101174 | (05) | AL |
101339 | (05) | AL |
1760539571 | TRICARE SOUTH (01) | AL |
515-91059 | BCBS (01) | |
515-91061 | BCBS (01) | AL |