Individual
DR. KRISTEN MICHELLE HEATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 E EMORY RD, POWELL, TN 37849-3518
(865) 938-5411
Mailing address
7617 HOFF LN, KNOXVILLE, TN 37938-4534
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42541
TN
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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