# YOUR ENT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023550100
- **Authorized official:** MRS. KATHRYN LENDERMAN KING FNP (OWNER)
- **Authorized official phone:** (901) 861-2526

## Contact information

- **Practice address:** 2028 W POPLAR AVE, SUITE 112, COLLIERVILLE, TN 38017-0618
- **Practice address phone:** (901) 861-2526
- **Practice address fax:** (901) 861-2527
- **Mailing address:** 2028 W POPLAR AVE, SUITE 112, COLLIERVILLE, TN 38017-0618
- **Mailing address phone:** (901) 861-2526
- **Mailing address fax:** (901) 861-2527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 15081 | TN | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/29/2016
