Individual
KAITLYN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
Mailing address
5472 BANNER ROSLIN RD., CLARKRANGE, TN 38553-5472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
263873
TN
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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