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Individual

KATHRYN LEIGH HECKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 934-6100
(865) 342-0100
Mailing address
6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015017630
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN24515
TN

Other

Enumeration date
08/23/2018
Last updated
09/29/2020
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