Individual
KENNETH MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12 REVERE CIR APT 7, JACKSON, TN 38305-3479
(731) 313-1790
Mailing address
12 REVERE CIR APT 7, JACKSON, TN 38305-3479
(731) 313-1790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
252308
TN
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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