Individual
KAITLYN GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2339 NEWPORT HWY, SEVIERVILLE, TN 37876-2057
(865) 908-8695
Mailing address
3604 HOUSEHOLDER ST APT 323, PIGEON FORGE, TN 37863-3440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41443
TN
Other
Enumeration date
11/23/2020
Last updated
02/23/2021
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