Individual
KAYLA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
(931) 456-1047
Mailing address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
(931) 456-1047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
82694
TN
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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