Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Kimberly Beth Macintire, PAC

Individual provider Physician Assistant · NPI 1609151786

Miss. Kimberly Beth Macintire, PAC is a Physician Assistant in Knoxville, Tennessee. Licensed in Alabama, Tennessee and West Virginia. Registered with an NPI since 2011.

Licensed in
AL, TN, WV
In the registry since
2011
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

400 Goodys Ln
Knoxville, TN 37922-1900
Phone: (865) 288-8327
Fax: (865) 288-5903
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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 2091 (TN)
Physician Assistant Taxonomy 363A00000X (WV)
Physician Assistant Taxonomy 363A00000X · Licence PA.892 (AL)

Record details

NPI number1609151786
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 20, 2011
Last updated in NPPESDecember 14, 2016

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