Individual
KIMBERLY C. PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 ADESSA PKWY STE A150, LENOIR CITY, TN 37771-6719
(865) 986-4530
Mailing address
10321 CASTLEBRIDGE CT, KNOXVILLE, TN 37922-7218
(865) 777-0119
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8118
TN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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