Individual
DARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5135
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917-6434
(865) 215-5135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
Z5N2W9K2
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z5N2W9K2
—
TN
Enumeration date
02/03/2019
Last updated
02/03/2019
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