| NPI | 1366114738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTEIA KINNON Family Nurse Practitioner/Owner 731-616-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-11-18 |