Individual
KESHIA MILLSAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3469 NEW HIGHWAY 68, MADISONVILLE, TN 37354
(142) 344-2399
(423) 442-9468
Mailing address
P.O. BOX 38 3469 HIGHWAY 68, MADISONVILLE, TN 37354
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000150194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669527230
RN
TN
Enumeration date
05/08/2007
Last updated
07/08/2007
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