Provider Demographics
NPI:1952667503
Name:MARSH, KIMBERLY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:MARSH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5050 POPLAR AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38157-0800
Mailing Address - Country:US
Mailing Address - Phone:901-276-2662
Mailing Address - Fax:901-274-2033
Practice Address - Street 1:MID-SOUTH PULMONARY SPECIALISTS, P.C.
Practice Address - Street 2:5050 POPLAR AVE., SUITE 800
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38157-0800
Practice Address - Country:US
Practice Address - Phone:901-276-2662
Practice Address - Fax:901-274-2033
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2019-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN54072207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty