Individual
MRS. TIFFANY LEATRICE KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
(423) 634-3124
Mailing address
57 FROST ST, DECHERD, TN 37324-2410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236782
TN
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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