Individual
KENDALL EVONE MEMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4600 ASHEVILLE HWY, KNOXVILLE, TN 37914-3665
(865) 522-8114
(865) 522-1161
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23375
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
23375
TN
363LP2300X
Primary Care Nurse Practitioner
23375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033936
—
TN
Enumeration date
11/10/2017
Last updated
02/26/2019
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