Individual
KARNASHIA PERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 WILMA RUDOLPH BLVD STE 2, CLARKSVILLE, TN 37040-6961
(334) 614-2967
Mailing address
740 CRESTONE LN, CLARKSVILLE, TN 37042-1478
(334) 614-2967
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
204696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240166
BUSINESS LICENSE
TN
Enumeration date
12/12/2022
Last updated
05/23/2023
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