Individual
DR. LACEY KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1180 WEST AVE, CROSSVILLE, TN 38555-4148
(931) 707-3620
(931) 484-7393
Mailing address
1180 WEST AVE, CROSSVILLE, TN 38555-4148
(931) 707-3620
(931) 484-7393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44147
TN
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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