Kimberly Shannon Wilson in Knoxville - Psychologist
Kimberly Shannon Wilson - NPI 1316091119
Kimberly Shannon Wilson is a Psychologist in Knoxville, Tennessee. Kimberly Shannon Wilson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kimberly Shannon Wilson is 1316091119. The last update date is 2015-08-17.
Kimberly Shannon Wilson's current location address is 813 S Northshore Dr, Knoxville, Tennessee. You can contact this provider via phone number 8655844005 and fax number 8655845551. The mailing address for Kimberly Shannon Wilson is 813 S Northshore Dr, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Shannon Wilson |
|---|---|
| Address | 813 S Northshore Dr, Knoxville, Tennessee |
| Phone Number | 8655844005 |
| Fax Number | 8655845551 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1316091119 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2015-08-17 |
Provider Mailing Address Detail
| Address | 813 S Northshore Dr |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379197594 |
| Phone Number | 8655844005 |
| Fax Number | 8655845551 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | P0000002498 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3983201 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Shannon Wilson?
The Kimberly Shannon Wilson has been issued the NPI (National Provider Identifier) 1316091119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kimberly Shannon Wilson's facilities are situated?
The facilities of Kimberly Shannon Wilson are physically located at the following address: 813 S Northshore Dr, Knoxville, TN, 379197594.
What is Kimberly Shannon Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kimberly Shannon Wilson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316091119 to Kimberly Shannon Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1316091119 to Kimberly Shannon Wilson on 2007-01-22.
As of what date was the information regarding Kimberly Shannon Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Shannon Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-17.