Individual
MRS. KECIA BETH MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N., M.P.H.
Contact information
Practice address
220 FORT SANDERS WEST BLVD, MOB 2, SUITE 205, KNOXVILLE, TN 37922-3398
(865) 531-5590
(865) 531-5596
Mailing address
220 FORT SANDERS WEST BLVD, MOB 2, SUITE 205, KNOXVILLE, TN 37922
(865) 531-5590
(865) 531-5596
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1717
TN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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