Provider Demographics
NPI:1134658800
Name:GEBHART, KIMBERLY M (PA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:GEBHART
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1415 OLD WEISGARBER RD STE 350
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1381
Mailing Address - Country:US
Mailing Address - Phone:865-588-1605
Mailing Address - Fax:865-588-1608
Practice Address - Street 1:1415 OLD WEISGARBER RD STE 350
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1381
Practice Address - Country:US
Practice Address - Phone:865-588-1605
Practice Address - Fax:865-588-1608
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2022-01-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant