Individual
MRS. CASEY DRAKE COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
9048 LEGENDS LAKE LN, KNOXVILLE, TN 37922-5258
(865) 414-7491
Mailing address
9048 LEGENDS LAKE LN, KNOXVILLE, TN 37922-5258
(865) 414-7491
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00841
DMRS CONTRACT POVIDR NO.
TN
Enumeration date
02/06/2007
Last updated
11/18/2015
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