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General NPI Number Information
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NPI Number | 1023336708
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Entity Type | Individual
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Provider Name | KIMI KAY GUFFEY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 2137 VOLUNTEER PKWY STE 5
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City | BRISTOL
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State | TN
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Zip | 37620-6717
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Country | US
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Telephone | 423-722-5000
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Fax | 423-722-5130
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Provider Business Mailing Address
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Address Line | 2137 VOLUNTEER PKWY STE 5
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City | BRISTOL
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State | TN
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Zip | 37620-6717
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Country | US
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Telephone | 423-722-5000
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Fax | 423-722-5130
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014858
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9191490
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 14800
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License Number State | TN
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