Organization
KV MEDICAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA CLEVENGER (MANAGER)
(423) 720-9777
Entity
Organization
Contact information
Practice address
136 E BROADWAY, NEWPORT, TN 37821-2323
(423) 720-9777
Mailing address
136 E BROADWAY, NEWPORT, TN 37821-2323
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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