KAFUL DOUBLE PORTION FAMILY PRACTICE, INC – NPI #1386049476
Nurse Practitioner

KAFUL DOUBLE PORTION FAMILY PRACTICE, INC is a nurse practitioner located in CLEVELAND, TN. NPPES has assigned the NPI number 1386049476 to KAFUL DOUBLE PORTION FAMILY PRACTICE, INC on October 31, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 11 years ago on Dec 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAFUL DOUBLE PORTION FAMILY PRACTICE, INC below.

NPI Profile for
KAFUL DOUBLE PORTION FAMILY PRACTICE, INC

NPI Number
1386049476
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAFUL DOUBLE PORTION FAMILY PRACTICE, INC
Primary location
3740 OCOEE PLACE NW
SUITE 101
CLEVELAND, TN 37312
Phone: (423) 339-7107 Fax: (423) 339-6717
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRENDA GILBERT
PROVIDER/OWNER
Phone: (423) 339-7107
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
TN APN0000014265

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.