Individual
KIMBERLY MICHELLE SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 BATTLE CREEK LN, CORRYTON, TN 37721-7004
(865) 386-0727
Mailing address
7400 BATTLE CREEK LN, CORRYTON, TN 37721-7004
(865) 386-0727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81786
TN
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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