| Doctor Name: | KIM ADKINS THREET |
| NPI Number: | 1033303466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | ANP0000006670 |
| Business Practice Address: | 240 Albert Gallatin Ave Gallatin, TN - 370662051 |
| Business Phone Number: | 6154512016 |
| Business Fax Number: | |
| Mailing Address: | 110 Timber Hills Rd, HENDERSONVILLE |
| State: | TN |
| Postal Code: | 370759770 |
| Phone Number: | 6158241161 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 08/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ANP0000006670 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |