Healthcare Provider Details

I. General information

NPI: 1619062924
Provider Name (Legal Business Name): FRANK CHARLES KIMSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 E 3RD ST STE G15
CHATTANOOGA TN
37403-3327
US

IV. Provider business mailing address

1604 GUNBARREL RD
CHATTANOOGA TN
37421-3125
US

V. Phone/Fax

Practice location:
  • Phone: 423-490-9080
  • Fax: 423-490-9076
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number20775
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: