Individual
KATINA ELIZABETH WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 HICKEY RD, KNOXVILLE, TN 37932-2013
(865) 258-0742
(865) 357-5874
Mailing address
1208 HICKEY RD, KNOXVILLE, TN 37932-2013
(865) 258-0742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72404
TN
Other
Enumeration date
05/27/2020
Last updated
06/01/2020
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