Individual
KIM HALCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
501 ADESA BLVD, SUITE A150, LENOIR CITY, TN 37771
(865) 986-4530
(865) 986-4909
Mailing address
7740 VERONA LN, POWELL, TN 37849-5339
(865) 363-3400
(865) 986-4909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C006969
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C006969
PHARMACY LICENSE NUMBER
TN
Enumeration date
11/07/2006
Last updated
03/11/2022
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