Mrs. Kelly Carter Simcox
Nurse Practitioner - Family Medicine
212 Midway Medical Park
Bristol
, Tennessee 37620-1664
Mrs. Kelly Carter Simcox
Nurse Practitioner - Family Medicine
212 Midway Medical Park
Bristol
, Tennessee 37620-1664
(423) 652-2590
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Kelly Carter Simcox
- 212 Midway Medical Park
- Bristol, TN
- Zip : 37620-1664
- Fax : (423) 652-2590
- Phone : (423) 844-6515
Second Address
- Mrs. Kelly Carter Simcox
- 212 Midway Medical Park
- Bristol, TN
- Zip : 37620-1664
- Fax : (423) 652-2590
- Phone : (423) 844-6515
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 15152 | TN |
National Provider Identifier
| NPI | 1003122755 |
|---|---|
| Provider Name | Mrs. Kelly Carter Simcox |
| First Address | Bristol, TN 37620-1664 |
| Second Address | Bristol, TN 37620-1664 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2010 |
| Last Update Date | 19/08/2010 |
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.