Individual
KIRSTAN KENNAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1075 W POINT RD, LAWRENCEBURG, TN 38464-6467
(931) 279-4071
Mailing address
1075 W POINT RD, LAWRENCEBURG, TN 38464-6467
(931) 279-4071
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-295021
TN
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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