Individual
KIELA BREANNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRA. RT(R)
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 968-1144
Mailing address
161 COLLEGE HILLS DR, GREENEVILLE, TN 37745-4458
(423) 968-1144
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
TN
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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