Individual
KIMBERLY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 DAWSON ST, STE. B, VONORE, TN 37885-2420
(423) 884-3400
Mailing address
5858 WOLF CREEK RD, SPRING CITY, TN 37381-4837
(423) 490-5171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100609
TN
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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