Individual
KAILEY MARIE HARNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 COBURN DR, CHATTANOOGA, TN 37415-1720
(423) 310-0268
Mailing address
122 COBURN DR, CHATTANOOGA, TN 37415-1720
(423) 310-0268
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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