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Individual

KENNEDY S WILKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
60 BRAZELTON ST UNIT 6, SAVANNAH, TN 38372-3080
(731) 438-3090
(731) 256-0757
Mailing address
PO BOX 58, SAVANNAH, TN 38372-0058
(731) 438-3090
(731) 256-0757

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
39985
TN

Other

Enumeration date
10/06/2025
Last updated
10/06/2025
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