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Individual

MISS KACI ALLISON OETJEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7305 JARNIGAN RD STE 260, CHATTANOOGA, TN 37421-4895
(423) 708-5050
(423) 708-5055
Mailing address
310 N STATE OF FRANKLIN RD STE 103, JOHNSON CITY, TN 37604-6063
(423) 328-0163
(423) 491-8109

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6890
TN
363AS0400X
Surgical Physician Assistant
10703
GA

Other

Enumeration date
06/17/2021
Last updated
01/21/2026
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