Individual
KELLY MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60286
TN
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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