Individual
KENDRA JANE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 OLD ATHENS RD, MADISONVILLE, TN 37354-6173
(423) 519-6989
Mailing address
900 OLD ATHENS RD, MADISONVILLE, TN 37354
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
02660
TN
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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