Individual
KASSANDRA SUZANNE LEPHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 PIONEER DR, RUTLEDGE, TN 37861-3622
(865) 225-2188
(865) 225-2189
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN65437
TN
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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