Individual
KELLY VITTETOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
(615) 322-6180
Mailing address
279 BORDERLINE DR, BLAINE, TN 37709-2917
(865) 621-4492
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2022
Last updated
04/23/2022
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