MR. KIM D DEES (NPI# 1912071259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912071259 |
| Entity Type | Individual |
| Full Name | MR. KIM D DEES |
| Credential | PA |
| Practice Address |
9029 Hiwassee St Nw Charleston TN 37310-5305 |
| Mailing Address |
9029 Hiwassee St Nw Po Box 15 Charleston TN 37310-5305 |
| Practice Telephone | 4236653666 |
| Practice Fax Number | 4235846747 |
| Mailing Telephone | 4236653666 |
| Mailing Fax Number | 4235846747 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA0000000002 | TN | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA0000000002 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9029 HIWASSEE ST NW |
| City | CHARLESTON |
| State | TN |
| Zip Code | 37310-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673105 | Kavin J Johnson | Internal Medicine | 9029 Hiwassee St Nw, Charleston, TN 37310-5305 | 2005-07-18 |
| 1255706388 | Amber Sharp | Physician Assistant | 9029 Hiwassee St Nw, Charleston, TN 37310-5305 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863698 | Jeremy Swallows | Pharmacist | 845 Moore Rd Nw, Charleston, TN 37310-5010 | 2011-08-23 |
| 1376789339 | Vickie Darlene Smeltzer | Registered Nurse | 190 Moore Circle Rd Nw, Charleston, TN 37310-5026 | 2008-12-22 |
| 1942518287 | Eugene Baker | Pharmacist | 155 Jessie Ln Nw, Charleston, TN 37310-5119 | 2010-09-21 |
| 1184038762 | Danny Ray Nelson | Nurse Practitioner | 424 Wylou Dr Nw, Charleston, TN 37310-5179 | 2014-06-11 |
| 1952727976 | Thomas Odom | Respiratory Therapist, Registered | 117 Marina Dr Nw, Charleston, TN 37310-5217 | 2014-03-14 |
| 1811168941 | Keith L Kidd | Nurse Practitioner | 9026 Hiwassee St Ne, Charleston, TN 37310-5305 | 2008-03-17 |
| 1699188029 | Preferred Family Medical Care LLC | Clinic/Center | 9026 Hiwassee St Ne, Charleston, TN 37310-5305 | 2014-06-03 |
| 1558476598 | Preferred Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8896 Hiwassee St Nw, Charleston, TN 37310-5340 | 2006-08-20 |
| 1215225206 | James Clifton Griffin | Pharmacist | 8897 Hiwassee St Nw, Charleston, TN 37310-5367 | 2011-07-12 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 37310 |
Please comment or provide details below to improve the information on MR. KIM D DEES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.