KIMBERLY MARIE MCMAHAN


Address: 620 Eagle Bend Rd, Clinton, TN 37716-3825
Phone: 8652085760

KIMBERLY MARIE MCMAHAN (NPI# 1407406119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407406119
Entity Type Individual
Full Name KIMBERLY MARIE MCMAHAN
Practice Address 620 Eagle Bend Rd
Clinton
TN 37716-3825
Practice Telephone 8652085760
Practice Fax Number 8652645279
Mailing Telephone 8652085760
Mailing Fax Number 8652645279
Enumeration Date 2019-09-14
Last Update Date 2019-09-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LPN0000061259 TN Nursing Service Providers

Office Location

Street Address 620 EAGLE BEND RD
City CLINTON
State TN
Zip Code 37716-3825

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730650870 Kellye Watkins Wilson Dental Hygienist 420 S. Charles Seivers Blvd, Clinton, TN 37716 2018-12-16
1326428087 Sandra Ella Humphrey Mincey Registered Nurse Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 2015-06-08
1598157224 Susan Price Teffeteller Nurse Practitioner 159 Frank L Diggs Road, Clinton, TN 37716 2015-03-04
1710268065 Jimmy Neil Mcbride Pharmacist 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 2011-08-31
1265684658 K-va-t Food Stores, Inc. Durable Medical Equipment & Medical Supplies 507 South Charles Sevier Boulevard, Clinton, TN 37716 2008-10-16
1912186016 Comprehensive Industrial Services Inc Physical Therapist 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 2007-10-25
1205039120 Pamela H. Gross, Ph.d, P.C. Psychologist 1729 Dutch Valley Road, Clinton, TN 37716 2007-06-07
1396872057 Health Care Inc Pharmacy 1130 N Charles Seivers Blvd, Clinton, TN 37716 2007-02-28
1346389889 Kellie Gaetz Physical Therapist 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 2007-02-05
1396883955 Phoenix Counseling Services, Inc. Counselor 729 Charles Seivers, Clinton, TN 37716 2007-02-02
Find all providers in zip 37716

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487269437 Cathy Jones Licensed Practical Nurse 2047 Dutch Valley Rd, Clinton, TN 37716-5121 2020-09-15
1154825420 Karen Gene Nitzel Licensed Practical Nurse 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216-9146 2018-03-21
1053827105 Cineka Melicia Phillips Licensed Practical Nurse 104 Mesa Verda Cv, Clinton, MS 39056-5916 2017-12-26
1548703648 Monica Morse Licensed Practical Nurse 3283 State Route 12b, Clinton, NY 13323-4622 2016-11-22
1629525639 Thomas Mckinnie Licensed Practical Nurse 7017 Sand Cherry Way, Clinton, MD 20735-4265 2016-09-07
1275909533 Belta Monie Licensed Practical Nurse 9013 Goldfield Pl, Clinton, MD 20735-2027 2015-08-20
1891130159 Mary Lynne Boss Licensed Practical Nurse 449 E Comet Rd, Clinton, OH 44216-9425 2013-05-01
1326317645 Christine Erin Duval Licensed Practical Nurse 364 Green St Apt 4, Clinton, MA 01510-3013 2011-12-15
1780952754 Elizabeth Rhoades Licensed Practical Nurse 442 Comet Ln, Clinton, OH 44216-9457 2011-12-06
1982996245 Willa Samette Jackson Licensed Practical Nurse 3067 Bronco Dr, Clinton, OH 44216-9736 2011-05-04
Find all providers in CLINTON

Competitor

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City CLINTON
Zip Code 37716

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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