Provider Demographics
NPI:1710172119
Name:BYRD, KIMBERLY BRASFIELD (DNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:BRASFIELD
Last Name:BYRD
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2808
Mailing Address - Country:US
Mailing Address - Phone:901-385-6988
Mailing Address - Fax:901-385-6933
Practice Address - Street 1:6605 STAGE RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2808
Practice Address - Country:US
Practice Address - Phone:901-385-6988
Practice Address - Fax:901-385-6933
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000012428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily