Individual
KISHA A BARCLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
413 SPRING ST, CHATTANOOGA, TN 37405-3848
(423) 756-2740
Mailing address
263 MEADOW GREEN LN APT A, GORDONSVILLE, TN 38563-6594
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65139
TN
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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