Kimberely B Walters
Nurse Practitioner - Neonatal
400 N State Of Franklin Rd
Johnson City
, Tennessee 37604-6035
Kimberely B Walters
Nurse Practitioner - Neonatal
400 N State Of Franklin Rd
Johnson City
, Tennessee 37604-6035
(423) 433-6140
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Kimberely B Walters
- Po Box 699
- Mountain Home, TN
- Zip : 37684-0699
- Fax : (423) 433-6140
- Phone : (423) 433-6000
Second Address
- Kimberely B Walters
- 400 N State Of Franklin Rd
- Johnson City, TN
- Zip : 37604-6035
- Phone : (423) 431-6671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 96882 | TN |
National Provider Identifier
| NPI | 1144287517 |
|---|---|
| Provider Name | Kimberely B Walters |
| First Address | Mountain Home, TN 37684-0699 |
| Second Address | Johnson City, TN 37604-6035 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05/25/1970 | DATE OF BIRTH (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.