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Individual

KACI J FLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403-2136
(423) 778-5910
(237) 785-9154
Mailing address
979 E 3RD ST STE C-925, CHATTANOOGA, TN 37403-2136
(423) 778-5910
(423) 778-5915

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18126
TN
363L00000X
Nurse Practitioner
RN200664
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000211956A
GA
Enumeration date
04/08/2011
Last updated
09/14/2021
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