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Individual

MRS. KATHERINE KELLY VINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
815 W MAIN ST, ADAMSVILLE, TN 38310-2201
(731) 438-5133
Mailing address
PO BOX 811, ADAMSVILLE, TN 38310-0811
(731) 438-5133

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
94434
TN

Other

Enumeration date
04/10/2025
Last updated
04/10/2025
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