Individual
MS. KATHY JO ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
101 LENA DRIVE, ROGERSVILLE, TN 37857
(423) 272-9239
(423) 272-1803
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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