Organization
BETHEL UNIVERSTIY
Active
Other names
Bethel Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MICHELLE DUNN (AUTHORIZED OFFICIAL)
(731) 352-6428
Entity
Organization
Contact information
Practice address
325 CHERRY AVE, MC KENZIE, TN 38201-1769
(972) 367-4845
Mailing address
15305 DALLAS PKWY STE 800, ADDISON, TX 75001-6415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24365
TN
Other
Enumeration date
11/15/2017
Last updated
12/17/2021
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