| NPI | 1639517626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MCQUAY KLEIN Owner 865-406-1264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005898) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |