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Individual

KATHLEEN ROSE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPH

Contact information

Practice address
3200 FORT HENRY DR, KINGSPORT, TN 37664-4022
(423) 392-9860
(423) 378-5892
Mailing address
1113 WIEMBLEY DR, KINGSPORT, TN 37664-5193
(423) 863-7197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000009748
TN

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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