Individual
KAREN KAY PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DEER TRL NW, CLEVELAND, TN 37312-1110
(573) 552-1442
Mailing address
111 DEER TRL NW, CLEVELAND, TN 37312-1110
(573) 552-1442
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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