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

Shannon K Kimmel

Individual provider Audiologist · NPI 1104090463

Shannon K Kimmel is a Qualified Audiologist in Germantown, Tennessee. Qualified in 2005, 21 years ago. Practices with Mid-South Ear Nose and Throat PC, a 32-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Licensed in
TN
In the registry since
2008
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Practice location Address checks out

7600 Wolf River Blvd Ste 120
Germantown, TN 38138-1785
Phone: (901) 755-5300
Fax: (901) 682-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence A0000001210 (TN)

Record details

NPI number1104090463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2008
Last updated in NPPESNovember 7, 2016
Mailing address8001 Centerview Pkwy, Suite 202, Cordova, TN 38018-4228

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mid-South Ear Nose And Throat Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Germantown