Individual
KINZEY MARIAH BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-6900
(865) 305-9000
Mailing address
2858 NINA RD, WHITE PINE, TN 37890-4513
(865) 203-7917
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
29858
TN
Other
Enumeration date
10/03/2023
Last updated
05/29/2024
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