Individual
AMY NICOLE KITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
Mailing address
4335 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3623
(865) 992-3867
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00147567
TN
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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