Individual
KILEY HEWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12803 EAGLEPATH LN, KNOXVILLE, TN 37922-6614
(317) 902-9261
Mailing address
12803 EAGLEPATH LN, KNOXVILLE, TN 37922-6614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5051
TN
363A00000X
Physician Assistant
99054153A
IN
363AS0400X
Surgical Physician Assistant
5051
TN
Other
Enumeration date
10/05/2012
Last updated
09/19/2024
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