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Individual

BETHANY KOSSICK SEALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-5711
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7720
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17975
TN

Other

Enumeration date
10/11/2013
Last updated
10/20/2014
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