Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 51291 | TN |
N | 208600000X | Surgeon | 51291 | TN |
Y | 2086X0206X | Surgical Oncologist | MD51291 | TN |
NPI | 1295908150 |
---|---|
Provider Name | Troy F. Kimsey |
First Address | Knoxville, TN 37950-2948 |
Second Address | Knoxville, TN 37916-2434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 29/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q005525 | (05) | TN |