Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 5014858 | NC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9191490 | FL |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 14800 | TN |
NPI | 1023336708 |
---|---|
Provider Name | Kimi Kay Guffey |
First Address | Bristol, TN 37620-6717 |
Second Address | Bristol, TN 37620-6717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2010 |
Last Update Date | 07/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003698400 | (05) | FL |
Q065996 | (05) | TN |