Individual
KIMBERLY MARIE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 EAGLE BEND RD, CLINTON, TN 37716-3825
(865) 208-5760
(865) 264-5279
Mailing address
620 EAGLE BEND RD, CLINTON, TN 37716-3825
(865) 208-5760
(865) 264-5279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000061259
TN
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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