KIMBERLY MARIE MCMAHAN
NPI 1407406119
Licensed Practical Nurse in Clinton, TN

Active since September 14, 2019
620 EAGLE BEND RD, CLINTON, TN 37716(865) 208-5760(865) 264-5279 Get Directions Write a Review

NPPES record last updated: September 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Marie Mcmahan NPPES

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

KIMBERLY MARIE MCMAHAN (NPI 1407406119) is an individual licensed practical nurse in Clinton, Tennessee, licensed in Tennessee (LPN0000061259) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1407406119
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY MARIE MCMAHAN
Location Address620 EAGLE BEND RDClinton, TN 37716-3825
Mailing Address620 Eagle Bend RdClinton, TN 37716-3825 · (865) 208-5760 · Fax (865) 264-5279
Fax(865) 264-5279
Sole ProprietorYes
Enumeration DateSeptember 14, 2019
NPI 1407406119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in TN · LPN0000061259
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
620 EAGLE BEND RD, Clinton, TN 37716

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 Mcmahan's NPI number?

The NPI number for Kimberly Mcmahan is 1407406119. It was assigned to this individual provider in the NPPES registry on September 14, 2019.

Where is Kimberly Mcmahan located?

Kimberly Mcmahan practices at 620 Eagle Bend Rd, Clinton, TN 37716. The listed phone number is (865) 208-5760.

What is Kimberly Mcmahan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Mcmahan was last updated on September 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.