Individual
KIMBERLY SUE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, WHCNP
Contact information
Practice address
939 E EMERALD AVE, SUITE 801, KNOXVILLE, TN 37917-4540
(865) 546-6721
Mailing address
9616 NORRIS FWY, POWELL, TN 37849-2303
(865) 925-2615
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
APN0000006278
TN
Other
Enumeration date
05/07/2007
Last updated
09/26/2008
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