| Doctor Name: | KIMBERLY MANNING |
| NPI Number: | 1043401888 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 125286 |
| Business Practice Address: | 1412 Campbell Rd Goodlettsville, TN - 370724112 |
| Business Phone Number: | 6158591443 |
| Business Fax Number: | |
| Mailing Address: | 311 23rd Ave N, NASHVILLE |
| State: | TN |
| Postal Code: | 372031503 |
| Phone Number: | 6158802138 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 08/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 125286 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |