Individual
KIMBERLY ANN KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
10703 DUTCHTOWN RD, KNOXVILLE, TN 37932-3208
(865) 966-7496
Mailing address
11825 YARNELL RD, KNOXVILLE, TN 37932-2340
(865) 218-6122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9434
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9434
STATE LICENSE
TN
Enumeration date
06/05/2007
Last updated
07/08/2007
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