Organization
COMPLEMENTARY BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMILIA KOZLOWSKI M.D. (MEDICAL DIRECTOR)
(865) 584-0291
Entity
Organization
Contact information
Practice address
1400 DOWELL SPRINGS BLVD, SUITE 200, KNOXVILLE, TN 37909-2400
(865) 584-0291
(865) 584-4426
Mailing address
DEPT 888009, KNOXVILLE, TN 37995-8009
(865) 584-0291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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