Individual
SAMANTHA MACCHIO KAPPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2020 KEITH ST NW, CLEVELAND, TN 37311-1351
(423) 472-6517
Mailing address
2020 KEITH ST NW, CLEVELAND, TN 37311-1351
(423) 472-6517
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3638
TN
Other
Enumeration date
10/27/2020
Last updated
07/05/2024
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