Individual
KATHY L STOLICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
(423) 844-2688
Mailing address
304 LESTER RD, BLOUNTVILLE, TN 37617-3808
(423) 323-7052
(423) 844-2686
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163089
TN
Other
Enumeration date
06/23/2008
Last updated
04/28/2014
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