Provider Demographics
NPI:1619062924
Name:KIMSEY, FRANK CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CHARLES
Last Name:KIMSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 GLENWOOD DRIVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404
Mailing Address - Country:US
Mailing Address - Phone:423-495-7736
Mailing Address - Fax:423-495-7718
Practice Address - Street 1:605 GLENWOOD DRIVE
Practice Address - Street 2:SUITE 208
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404
Practice Address - Country:US
Practice Address - Phone:423-495-7736
Practice Address - Fax:423-495-7718
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000207752085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718137Medicaid
TN4064174OtherBLUECROSS
TN3718137Medicaid
TN4064174OtherBLUECROSS