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Individual

KRISTY ALESE HENEGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1060 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
(423) 478-1970
(888) 853-7312
Mailing address
1060 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
(423) 478-1050
(888) 853-7312

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000024431
TN

Other

Enumeration date
08/19/2018
Last updated
02/11/2026
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