Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Fawver, PA-C

Individual provider Physician Assistant · NPI 1598808545

Kimberly Fawver, PA-C is a Physician Assistant in Dyersburg, Tennessee. Qualified in 2005, 21 years ago. Practices with Forrest Kenton Busch, DO PC, a 3-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Licensed in
TN
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

Pmb 363 710 Hwy 51 Byp
Dyersburg, TN 38024
Phone: (731) 286-4300
Fax: (731) 286-8008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1290 (TN)

Record details

NPI number1598808545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Forrest Kenton Busch, D.O. P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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