NPI: 1699091447 · CLARKSVILLE, TN 37043 · Family Nurse Practitioner · NPI assigned 04/19/2010
| Authorized Official | THOMAS, KIMBERLY (OWNER) |
| NPI Enumeration Date | 04/19/2010 |
Other providers sharing the same authorized official: THOMAS, KIMBERLY
| Provider | City | State | Total Paid |
|---|---|---|---|
| IDAHO YOUTH RANCH | BOISE | ID | $323K |
| GREEN DENTAL LAB, INC. | HEBER SPRINGS | AR | $211K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 175 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 175 | 155 | $8K |