Individual
KRISTINE MARIE STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2200 MEMORIAL CT, KINGSPORT, TN 37664-3340
(324) 246-0234
Mailing address
204 RANGER DR, ELIZABETHTON, TN 37643-6301
(423) 474-6574
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21747
TN
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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