Individual
LINDA WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
(423) 224-1600
Mailing address
1041 E SULLIVAN ST, KINGSPORT, TN 37660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000066973
TN
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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