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NPI Code Detail

MEDICARE: KIMBERLY CATLIN N.P.,

MEDICARE:   KIMBERLY  CATLIN  N.P.,
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
1363LF0000XFamily Nurse PractitionerNP-1103AID
2363LF0000XFamily Nurse PractitionerAP136629TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3645563OTHERTXMEDICARE
4P02020896OTHERTXMEDICARE RAIL ROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18JE110OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922388727
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CATLIN N.P.,
Provider Business Mailing Address
First Line : PO BOX 1022
Second Line :
City : WAYNESBORO
State : TN
Zip : 38485-1022
Country : US
Telephone Number : 931-722-2369
Fax Number :
Provider Business Practice Location Address
First Line : 1600 US HIGHWAY 79 S
Second Line :
City : HENDERSON
State : TX
Zip : 75654-4508
Country : US
Telephone Number : 903-717-3260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2011
Last Update Date : 03/05/2025

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Directions to “ KIMBERLY CATLIN N.P.,” Practice Location

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