Individual
KENDRA WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
698 BONNER WAY, ESTILL SPRINGS, TN 37330-4070
(931) 308-7203
Mailing address
698 BONNER WAY, ESTILL SPRINGS, TN 37330-4070
(931) 308-7203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
220062
TN
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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