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Individual

MRS. KIMBERLY HOPE DEVOTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
931 INDUSTRIAL PARK RD, DANDRIDGE, TN 37725-4701
(865) 397-3930
(865) 397-1246
Mailing address
970 DEVOTIE RD, JEFFERSON CITY, TN 37760-4020
(865) 475-0960
(865) 397-1246

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000057852
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPN0000057852
MULTISTATE
TN
Enumeration date
04/16/2007
Last updated
07/08/2007
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