Individual
MRS. CANDICE RACHELLE KUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Mailing address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26218
TN
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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