Individual
KATHY DIANE BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
154 BLOUNTVILLE BYP, BLOUNTVILLE, TN 37617-4575
(423) 279-7597
Mailing address
154 BLOUNTVILLE BYP, BLOUNTVILLE, TN 37617-4575
(423) 279-7597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
154658
TN
Other
Enumeration date
09/06/2007
Last updated
11/30/2007
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