Individual
KIMBERLY ANNETTE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7453
(423) 844-2262
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 968-1144
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RA0000000008
TN
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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