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General NPI Number Information
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NPI Number | 1598674475
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Entity Type | Organization
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Legal Business Name | KICKS & FLUTTERS ULTRASOUND
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 3845 KNIGHT DR
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City | WHITES CREEK
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State | TN
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Zip | 37189-9231
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Country | US
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Telephone | 615-626-9639
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Fax | 423-219-9361
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Provider Business Mailing Address
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Address Line | 3845 KNIGHT DR
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City | WHITES CREEK
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State | TN
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Zip | 37189-9231
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Country | US
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Telephone | 615-626-9639
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Fax | 423-219-9361
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Authorized Official
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Title or Position | DIAGNOSTIC MEDICAL SONOGRAPHER
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Name | MRS. KIMBERLY ASHLEY FIELDING
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Credential | RDMS, RDCS, RVT
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Telephone | 615-626-9639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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