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KIMBERLY RAE WYNN
NPI 1265002745
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since June 28, 2021
621 MEMORIAL DR APT 1404, CHATTANOOGA, TN 37415(760) 889-9800 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Rae Wynn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY RAE WYNN (NPI 1265002745) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1265002745
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY RAE WYNN
Location Address621 MEMORIAL DR APT 1404Chattanooga, TN 37415-5523
Mailing Address621 Memorial Dr Apt 1404Chattanooga, TN 37415-5523
Phone(760) 889-9800
Sole ProprietorNo
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1265002745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
621 MEMORIAL DR APT 1404, Chattanooga, TN 37415
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWANDA MYERS-PRESCOTT
Student in an Organized Health Care Education/Training Program
621 MEMORIAL DR APT 1404
CHATTANOOGA, TN 37415
Hamilton County (803) 446-5108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Wynn's NPI number?

The NPI number for Kimberly Wynn is 1265002745. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Kimberly Wynn located?

Kimberly Wynn practices at 621 Memorial Dr Apt 1404, Chattanooga, TN 37415. The listed phone number is (760) 889-9800.

What is Kimberly Wynn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Wynn was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.