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Individual

DR. TRISHA JULIANO KAMMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1211
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
17219
NH
208800000X
Urology Physician
35.149712
OH
208800000X
Urology Physician
70197
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3101890
NH
Enumeration date
04/18/2010
Last updated
03/13/2025
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