Individual
MRS. CHASITY L KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
208 SUNCREST ST, SUITE1, GRAY, TN 37615-3494
(423) 384-7720
Mailing address
3304 GRIMES CIRCLE, KINGSPORT, TN 37663
(423) 384-7720
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
270100103111766
TN
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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