Individual
KESHUN O GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3845 HOLSTON COLLEGE RD, LOUISVILLE, TN 37777-3105
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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