Healthcare Provider Details

I. General information

NPI: 1205212230
Provider Name (Legal Business Name): KIMBERLY LINDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2015
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 ALCOA HWY STE 260
KNOXVILLE TN
37920-2266
US

IV. Provider business mailing address

1940 ALCOA HWY STE 260
KNOXVILLE TN
37920-2266
US

V. Phone/Fax

Practice location:
  • Phone: 610-417-9229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2021-1447
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number68690
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number68690
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: