Individual
NICHOLE KILBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1313 AIRPROT RD, OAKDALE, TN 37829
(865) 236-9608
Mailing address
1313 AIRPORT RD, OAKDALE, TN 37829-2411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000070974
TN
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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