Individual
KIMMIE MIRACLE DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4330 MAYNARDVILLE HWY, MAYNARDVILLE, TN 37807-3579
(865) 992-3849
(865) 992-5166
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105632
TN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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