Individual
KENDRA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6004 WALDEN DR, KNOXVILLE, TN 37919-6370
(865) 766-5775
Mailing address
4785 LAKESHORE DR, BEAN STATION, TN 37708-6456
(423) 231-2266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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