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Individual

KAKA ECHERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHIATRIC NP

Contact information

Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 798-5179
(270) 798-6075
Mailing address
3414 OCONNOR LN, CLARKSVILLE, TN 37042-7982
(706) 951-3944
(706) 951-3944

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1581
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000606317B
GA
01
1457449506
NIP
Enumeration date
10/11/2006
Last updated
06/19/2018
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