KECIA A WISDOM

SMYRNA, TN
NPI1215945076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  RN0000074758)
Enumeration Date2006-08-04
Last Update Date2008-02-20
Business Address
-- KECIA A WISDOM APN
301 WOLVERINE TRL SUITE 100
SMYRNA, TN 37167-5656
Phone number: 615-459-6700
Mailing Address
-- KECIA A WISDOM APN
PO BOX 520
WEST PADUCAH, KY 42086-0520
Phone number: 270-744-0404
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