Individual
KRISTEN ROTHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12848 CABOT RIDGE LN, KNOXVILLE, TN 37922-0621
(951) 225-2203
Mailing address
12848 CABOT RIDGE LN, KNOXVILLE, TN 37922-0621
(951) 225-2203
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10490
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10490
DENTAL HYGIENE LICENSE
TN
Enumeration date
11/12/2021
Last updated
11/12/2021
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