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Organization
VITAL PATH MEDICAL GROUP LLC
Active
Organization
VITAL PATH MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MICHELLE FLAKE APRN, FNP-BC (NURSE PRACTITIONER)
(423) 883-2262
Entity
Organization
Contact information
Practice address
4495 S PITTSBURG MOUNTAIN RD, SOUTH PITTSBURG, TN 37380-6191
(423) 883-2262
Mailing address
4495 S PITTSBURG MOUNTAIN RD, SOUTH PITTSBURG, TN 37380-6191
(423) 883-2262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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