Individual
KATHRYN ANN TEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH, MBA
Contact information
Practice address
10703 DUTCHTOWN RD, KNOXVILLE, TN 37932-3208
(865) 679-6169
Mailing address
9175 HUNTER VALLEY LN, KNOXVILLE, TN 37922-6494
(865) 679-6169
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8349
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8349
TENNESSEE STATE BOARD OF PHARMACY
TN
Enumeration date
03/01/2021
Last updated
03/01/2021
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