Organization
RIVERVIEW MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA FENTON (OWNER)
(289) 684-8188
Entity
Organization
Contact information
Practice address
6148 LEE HIGHWAY, SUITE 107, CHATTANOOGA, TN 37421
(289) 684-8188
Mailing address
4543 EVERHARD RD NW, CANTON, OH 44718
(330) 942-0413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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