Organization
EXQUISITE KROWNZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NICOLE WILSON (CRANIAL PROSTHESIS SPECIALIST)
(615) 779-1149
Entity
Organization
Contact information
Practice address
5510 OLD HICKORY BLVD STE B, HERMITAGE, TN 37076-2586
(615) 779-1149
Mailing address
5510 OLD HICKORY BLVD STE B, HERMITAGE, TN 37076-2586
(615) 779-1149
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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