Provider Demographics
NPI:1437627700
Name:KIMBLE, AMARI JARVIEN (DC)
Entity type:Individual
Prefix:DR
First Name:AMARI
Middle Name:JARVIEN
Last Name:KIMBLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4245 CHERRY CENTER DR STE 1
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-2942
Mailing Address - Country:US
Mailing Address - Phone:901-542-0600
Mailing Address - Fax:
Practice Address - Street 1:4245 CHERRY CENTER DR STE 1
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-2942
Practice Address - Country:US
Practice Address - Phone:901-542-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor