Individual
KAYTHI SOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
(931) 815-3876
Mailing address
PO BOX 640, MCMINNVILLE, TN 37111-0640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162472
TN
363LF0000X
Family Nurse Practitioner
Primary
16947
TN
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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