| NPI | 1033660386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CUTSHALL Surgeon 423-975-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21566) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |