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Individual

KAITLIN A GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11130 KINGSTON PIKE, SUITE 7 & 8, FARRAGUT, TN 37934-2865
(865) 675-1953
(865) 675-0877
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2649
TN

Other

Enumeration date
12/08/2014
Last updated
04/07/2017
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