Individual
KEVIN N. TANKERSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
523 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8210
(423) 926-4663
Mailing address
201 OMAR DR, KINGSPORT, TN 37664-5328
(423) 483-5378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202220854
VA
183500000X
Pharmacist
Primary
41312
TN
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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