Individual
DESIREE DEEANNA KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
65 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 790-5671
Mailing address
65 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 790-5671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1585
TN
Other
Enumeration date
04/11/2008
Last updated
05/06/2010
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