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Individual

MRS. KIM DARLENE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
HIGHWAY 108, PALMER, TN 37365
(931) 779-4002
(931) 779-4003
Mailing address
PO BOX 308, BENTON, TN 37307
(423) 338-8995
(423) 338-8996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4033203
BLUE CARE
TN
01
TN0134
JOHN DEERE
TN
Enumeration date
11/20/2006
Last updated
07/08/2007
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