Individual
KILLMAN JOSUE BOUTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
921 EAST THIRD STREET, CHATTANOOGA, TN 37403-2165
(423) 209-8306
Mailing address
3863 LAKE KATHY RD, TUNNEL HILL, GA 30755-9716
(706) 516-4229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164849
TN
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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