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MRS. KATHY LORAINE CARPENTER RN

Community Health >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1457490336

Individual Registrant:
MRS. KATHY LORAINE CARPENTER RN
Gender: F
Sole Proprietor

Location and contact information for practice:
201 PARK BLVD  ROGERSVILLE, TN 37857-2919 US
Tel: 423-272-7641  Fax: 423-921-8073

Contact information for business:
428 CANEY CREEK RD  ROGERSVILLE, TN 37857-7645 US
Tel: 423-272-3050  Fax: --

Registration Information:
NPI: 1457490336
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC1500XNursing Service Providers
Registered Nurse
Community Health
TNRN0000074075

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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