Individual
MRS. KRISTEN LYNN CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1515 MEADOW SPRING DR, JEFFERSON CITY, TN 37760-2047
(865) 475-1858
(865) 475-1859
Mailing address
7306 COATBRIDGE LN, KNOXVILLE, TN 37924-3874
(865) 544-7912
(865) 475-1859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4113704
BLUECROSS BLUESHIELD ID
TN
05
—
5440691
—
TN
Enumeration date
02/15/2007
Last updated
07/09/2007
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