KENNETH NICLEY

MAYNARDVILLE, TN
NPI1306252598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  2416)
Enumeration Date2014-07-08
Last Update Date2015-01-21
Business Address
MR. KENNETH NICLEY PA
149 DURHAM DR
MAYNARDVILLE, TN 37807-2925
Phone number: 865-992-2221
Mailing Address
MR. KENNETH NICLEY PA
1225 E WEISGARBER RD SUITE 200
KNOXVILLE, TN 37909-2604
Phone number: 865-584-4747
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