Individual
KASANDRA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 W MAIN ST STE 185, HENDERSONVILLE, TN 37075-3318
(346) 461-8770
Mailing address
242 W MAIN ST STE 185, HENDERSONVILLE, TN 37075-3318
(615) 393-0971
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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