Individual
DR. KENLI ANN URRUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 VOLUNTEER BLVD, KNOXVILLE, TN 37996-4522
(965) 974-2196
Mailing address
328 MAGNOLIA GROVE WAY, KNOXVILLE, TN 37922-4265
(307) 620-0151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4066
CO
Other
Enumeration date
12/03/2008
Last updated
09/30/2014
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