Healthcare Provider Details

I. General information

NPI: 1568303998
Provider Name (Legal Business Name): KIMBERLY ASHLEY FIELDING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 KNIGHT DR
WHITES CREEK TN
37189-9231
US

IV. Provider business mailing address

3845 KNIGHT DR
WHITES CREEK TN
37189-9231
US

V. Phone/Fax

Practice location:
  • Phone: 615-626-9639
  • Fax: 423-219-9361
Mailing address:
  • Phone: 615-626-9639
  • Fax: 423-219-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License NumberNA
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: