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Organization
ELIZABETH JENKINS
Active
Organization
ELIZABETH JENKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JENKINS (SPEECH LANGUAGE PATHOLOGIST)
(865) 661-5380
Entity
Organization
Contact information
Practice address
127 S KENTUCKY ST, KINGSTON, TN 37763-2746
(865) 705-8688
(865) 285-9411
Mailing address
404 COFFEE LN, LOUDON, TN 37774-6612
(865) 661-5380
(865) 285-9411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194158204
TN CARE, UNITED HEALTH CARE
TN
Enumeration date
08/12/2013
Last updated
07/21/2022
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