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Individual

MCKENZIE WAMPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
11002 KINGSTON PIKE, KNOXVILLE, TN 37934-2848
(865) 405-9133
Mailing address
11002 KINGSTON PIKE, KNOXVILLE, TN 37934-2848
(865) 405-9133

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
TN

Other

Enumeration date
10/13/2015
Last updated
10/13/2015
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