Individual
MRS. KIMBERLY T PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
Mailing address
3422 SELMA AVE, KNOXVILLE, TN 37914-4711
(865) 524-3812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124719
TN
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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