Individual
TRACEY KEATHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
114 LAKEWOOD LDG, KINGSTON, TN 37763-2230
(865) 617-5039
(865) 315-7232
Mailing address
114 LAKEWOOD LDG, KINGSTON, TN 37763-2230
(865) 617-5039
(865) 315-7232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000120176
TN
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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