Organization
KNOX HEADACHE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY H QUALLS NP (NURSE PRACTITIONER/OWNER)
(865) 566-7520
Entity
Organization
Contact information
Practice address
4612 E JOYCE LN, POWELL, TN 37849-5155
(865) 566-7520
Mailing address
4612 E JOYCE LN, POWELL, TN 37849-5155
(865) 566-7520
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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