Provider Demographics
NPI:1679966717
Name:CARING FAMILY PRACTICE
Entity type:Organization
Organization Name:CARING FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFNP
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-245-2086
Mailing Address - Street 1:1750 MEMORIAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-6356
Mailing Address - Country:US
Mailing Address - Phone:931-245-2086
Mailing Address - Fax:
Practice Address - Street 1:1750 MEMORIAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6356
Practice Address - Country:US
Practice Address - Phone:931-245-2086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000006394261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care