MEDICARE: KIMBERLY SUE BOLTON PHD, WHCNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374T00000X	Religious Nonmedical Nursing Personnel	APN0000006278	TN

General Provider Information

NPI Number	:	1750594925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SUE BOLTON PHD, WHCNP

Provider Business Mailing Address
First Line	:	9616 NORRIS FWY
Second Line	:
City	:	POWELL
State	:	TN
Zip	:	37849-2303
Country	:	US
Telephone Number	:	865-925-2615
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 E EMERALD AVE
Second Line	:	SUITE 801
City	:	KNOXVILLE
State	:	TN
Zip	:	37917-4540
Country	:	US
Telephone Number	:	865-546-6721
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	09/26/2008

Similar Medicare Providers

1144223447 — THOMAS R TRAYLOR MD
Practice Location Address:

939 E EMERALD AVE , STE 901
KNOXVILLE, TN
37917-4540

Practice Phone: 865-546-9623
Practice Fax: 865-971-4887

1831159912 — DR. DAWN W NICHOLS MD
Practice Location Address:

939 E EMERALD AVE , SUITE 705
KNOXVILLE, TN
37917-4540

Practice Phone: 865-524-2547
Practice Fax: 865-524-0224

1407873284 — DERMATOLOGY ASSOCIATES OF KNOXVILLE, PC
Practice Location Address:

939 E EMERALD AVE , SUITE 705
KNOXVILLE, TN
37917-4540

Practice Phone: 865-524-2547
Practice Fax: 865-524-0224

1912839838 — HAYDEN GRACE KEELER
Practice Location Address:

2704 MINERAL SPRINGS AVE
KNOXVILLE, TN
37917-1503

Practice Phone: 865-637-9711
Practice Fax:

1205769940 — COURTNEY W LILES MS, RDN, LDN
Practice Location Address:

327 E BURWELL AVE
KNOXVILLE, TN
37917-5006

Practice Phone: 423-650-8971
Practice Fax:

1073516902 — DR. STEVEN C KEETON DDS
Practice Location Address:

140 DAMERON AVE
KNOXVILLE, TN
37917-6413

Practice Phone: 865-215-5163
Practice Fax: 865-215-5295

Directions to “ KIMBERLY SUE BOLTON PHD, WHCNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.