Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
2412 CALICO CT, CLARKSVILLE, TN 37042-8100
(270) 893-4343
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
87523
TN
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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