Individual
MR. KENNIE RENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
60 CROSSVILLE MEDICAL DR STE 109, CROSSVILLE, TN 38555-4935
(931) 456-3674
(865) 374-2076
Mailing address
60 CROSSVILLE MEDICAL DR STE 109, CROSSVILLE, TN 38555-4935
(931) 456-3674
(865) 374-2076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9212733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q101978
—
TN
Enumeration date
08/06/2015
Last updated
06/09/2025
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