Provider Demographics
NPI:1720036106
Name:KLIPPENSTEIN, KIMBERLY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:KLIPPENSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 CHURCH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2208
Mailing Address - Country:US
Mailing Address - Phone:615-329-3624
Mailing Address - Fax:615-329-0639
Practice Address - Street 1:1800 CHURCH ST.
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2233
Practice Address - Country:US
Practice Address - Phone:615-329-3624
Practice Address - Fax:615-329-0639
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD25333207W00000X, 207WX0200X
KY31967207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161568OtherBCBS PROVIDER ID#
TN3721364Medicare PIN
TN3161568OtherBCBS PROVIDER ID#