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Individual

KRISTEN LEE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
858 DALE ST, KINGSPORT, TN 37660-5212
(423) 765-3868
(423) 765-3868
Mailing address
858 DALE ST, KINGSPORT, TN 37660-5212
(423) 765-3868

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
118176910
TN

Other

Enumeration date
05/06/2025
Last updated
05/06/2025
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