Individual
MRS. KATHY LORAINE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
428 CANEY CREEK RD, ROGERSVILLE, TN 37857-7645
(423) 272-3050
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000074075
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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