Provider Demographics
NPI:1215122965
Name:CONTEMPORARY WOMENS HEALTH PLLC
Entity type:Organization
Organization Name:CONTEMPORARY WOMENS HEALTH PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-540-1650
Mailing Address - Street 1:10031 SHERRILL BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3336
Mailing Address - Country:US
Mailing Address - Phone:865-540-1650
Mailing Address - Fax:865-246-4755
Practice Address - Street 1:10031 SHERRILL BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3336
Practice Address - Country:US
Practice Address - Phone:865-540-1650
Practice Address - Fax:865-246-4755
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTEMPORARY WOMENS HEALTH PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-06
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI09055Medicare UPIN