MARY ELIZABETH KIMBROUGH (NPI# 1891355640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891355640 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH KIMBROUGH |
| Credential | DO |
| Practice Address |
240 Hospital Rd Whitesburg KY 41858-7627 |
| Mailing Address |
1070 County Road 31 Mount Hope AL 35651-9671 |
| Practice Telephone | 6066333500 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679126973 | Mary Richel Kimbrough | Physical Therapist | 355 Ozark Trail Dr Ste 1, Ellisville, MO 63011-2164 | 2019-07-17 |
| 1457561706 | Mary K Kimbrough | Surgery | 4301 W Markham St # 520, Little Rock, AR 72205-7101 | 2007-05-23 |
| Street Address |
240 HOSPITAL RD |
| City | WHITESBURG |
| State | KY |
| Zip Code | 41858-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337315 | Appalachian Regional Healthcare, Inc. | Day Training, Developmentally Disabled Services | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2005-09-26 |
| 1982228433 | Forrest Smith | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2020-06-01 |
| 1033733787 | Huzefa Mustafa Bhopalwala | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858 | 2020-05-28 |
| 1528682259 | Sanjana Thota-kammili | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2020-05-28 |
| 1497316251 | James Mitchell Crosby | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-06-24 |
| 1629638572 | David Lawrence Napier II | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-06-13 |
| 1639736614 | James Stone | Occupational Therapist | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-05-24 |
| 1366933467 | John Fowler | Nurse Practitioner | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2018-05-23 |
| 1730687021 | Charity Gilley | Speech-Language Pathologist | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2018-02-01 |
| 1538611298 | Brooke L. Whitaker | Nurse Practitioner | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2016-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799719 | Pine Mountain Pharmacy Inc | Pharmacy | 421 Highway 119 N, Whitesburg, KY 41858 | 2018-11-13 |
| 1831670892 | Wayne Coots | Occupational Therapist | 71 Piedmont Fr., Whitesburg, KY 41858 | 2018-08-27 |
| 1467938787 | Trevor Jacob Mullins | Pharmacist | 2300 Ky-15, Whitesburg, KY 41858 | 2018-07-19 |
| 1952686115 | Appalachian Heals, Inc. | Day Training, Developmentally Disabled Services | 270 Vermillion Ave., Whitesburg, KY 41858 | 2011-10-19 |
| 1801106281 | Pikeville Medical Center Inc. | Clinic/Center | 148 Suite A, Whitesburg Plaza, Whitesburg, KY 41858 | 2010-10-19 |
| 1346556990 | Julie Annette Baldridge | Pharmacist | 350 Whitesburg Plaza, Whitesburg, KY 41858 | 2010-08-20 |
| 1700075314 | Appalachian Rehabilitation Team, Inc. | Physical Therapist | 251 Medical Plaza Lane, Suite A, Whitesburg, KY 41858 | 2007-10-19 |
| 1356535603 | Kentucky River District Health Department | Public Health or Welfare | 150 Colson School Road, Whitesburg, KY 41858 | 2007-08-30 |
| 1578757928 | Kentucky River District Health Dept | Public Health or Welfare | Highway 931 South, Whitesburg, KY 41858 | 2007-08-29 |
| 1902019128 | Kentucky River District Health Department | Public Health or Welfare | 435 Cougar Drive, Whitesburg, KY 41858 | 2007-05-07 |
| Find all providers in zip 41858 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228433 | Forrest Smith | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2020-06-01 |
| 1033733787 | Huzefa Mustafa Bhopalwala | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858 | 2020-05-28 |
| 1528682259 | Sanjana Thota-kammili | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2020-05-28 |
| 1497316251 | James Mitchell Crosby | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-06-24 |
| 1629638572 | David Lawrence Napier II | Student in an Organized Health Care Education/Training Program | 240 Hospital Rd, Whitesburg, KY 41858-7627 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283721 | Brittany Michelle Woodward | Student in an Organized Health Care Education/Training Program | 107 Donovan Hts, Bardstown, KY 40004-8744 | 2020-10-21 |
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1104439439 | Rebekah Christine Preston | Student in an Organized Health Care Education/Training Program | 320 Colvin Cemetary Rd, Oil Springs, KY 41238-9152 | 2020-08-26 |
| 1639782949 | Vannarong Keo | Student in an Organized Health Care Education/Training Program | 805 Sam Christopher Ct, Richmond, KY 40475-3048 | 2020-08-26 |
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1699392142 | Melon Nega | Student in an Organized Health Care Education/Training Program | 8076 Us 42, Florence, KY 41042-1474 | 2020-07-01 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITESBURG |
| Zip Code | 41858 |
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| 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.