Individual
KRISTINA ELIZABETH MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
10451 WALLACE ALLEY ST, KINGSPORT, TN 37663
(423) 390-0451
(423) 283-0554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201229
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
28202
TN
Other
Enumeration date
09/18/2020
Last updated
08/05/2024
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