Individual
KATELYN NICOLE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 25TH ST NW STE 210, CLEVELAND, TN 37311-3958
(615) 444-0597
Mailing address
807 ASHLAND TER NE, CLEVELAND, TN 37312-5104
(423) 599-3716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-417656
TN
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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