Individual
KIMBERLY PEAVYHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 COLONIAL CIRCLE, SUITE A TN DEPT OF HEALTH, JAMESTOWN, TN 38556
(931) 879-9936
Mailing address
583 CASTO KNEPP RD, JAMESTOWN, TN 38556-5924
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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