Individual provider · Type 1 NPI

Kimberly Jill Shibayama, PA-C

Surgical Physician Assistant · Nashville, TN

NPI number 1821088600 Active

Practice location

4230 Harding Rd, Suite 1000
Nashville, TN 37205-2013

Call (615) 383-2693 Map

Mailing address

PO Box 105132
Atlanta, GA 30348-5132

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA1187 (TN)
Surgical Physician Assistant Primary 363AS0400XPA1187 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1821088600

Kimberly Jill Shibayama, PA-C's National Provider Identifier is 1821088600, issued on Oct 24, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Nashville, TN. The record was last updated on Jan 20, 2010.