Individual
JOSEPH KYLE MASSOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 331-2278
Mailing address
2306 JEFFERSON AVE, KNOXVILLE, TN 37917-8208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205767
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
28200
TN
Other
Enumeration date
08/28/2020
Last updated
09/22/2020
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