EDA KICKI

KNOXVILLE, TN
NPI1629527833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  0000021275)
Enumeration Date2016-09-28
Last Update Date2016-09-28
Business Address
-- EDA KICKI N.P.
3720 N BROADWAY ST
KNOXVILLE, TN 37917-3120
Phone number: 865-315-8353
Mailing Address
-- EDA KICKI N.P.
3720 N BROADWAY ST
KNOXVILLE, TN 37917-3120
Phone number: 865-315-8353
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