Individual
KEESHA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8009 PARADISE DR, POWELL, TN 37849-3948
(865) 599-1695
Mailing address
8009 PARADISE DR, POWELL, TN 37849-3948
(865) 599-1695
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
192154
TN
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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