KEATON CUPP

KNOXVILLE, TN
NPI1376231084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  35647)
Enumeration Date2023-05-01
Last Update Date2024-02-15
Business Address
KEATON CUPP PMHNP-BC
4611 ASHEVILLE HWY
KNOXVILLE, TN 37914-3615
Phone number: 865-246-2104
Mailing Address
KEATON CUPP PMHNP-BC
PO BOX 5777
MARYVILLE, TN 37802-5777
Phone number: 865-246-2104
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