Individual
EMILY KABILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
360 MILLION RD SE, CLEVELAND, TN 37323-8466
(423) 802-3522
Mailing address
4041 S MCCLINTOCK DR, TEMPE, AZ 85282-5879
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
168319
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WC1500X
—
AZ
Enumeration date
09/21/2022
Last updated
09/21/2022
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