Individual
KAILEN DANIELLE RAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 299-5000
Mailing address
163 WOODLAND DR, JOHNSON CITY, TN 37601-5453
(423) 557-1967
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
264272
TN
363LF0000X
Family Nurse Practitioner
Primary
0024192250
VA
Other
Enumeration date
11/23/2024
Last updated
04/01/2025
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