Individual
KAITLYN BEROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10608 FLICKENGER LN, KNOXVILLE, TN 37922-3485
(833) 633-1576
(866) 308-4392
Mailing address
1628 EL PRADO DR, KNOXVILLE, TN 37922-5718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
34791
TN
363LG0600X
Gerontology Nurse Practitioner
34791
TN
Other
Enumeration date
11/10/2023
Last updated
02/20/2025
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