Individual
MRS. MARCIE MARIE KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
309 COOPER ST, SPARTA, TN 38583-2223
(931) 837-7800
Mailing address
309 COOPER ST, SPARTA, TN 38583-2223
(931) 837-7800
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000154744
TN
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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