Individual
KENNETH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 873-8040
Mailing address
224 CURD RD, MOUNT JULIET, TN 37122-3072
(206) 605-4345
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN60566456
WA
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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