| NPI | 1659694685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R KANAN Owner 931-393-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 14261) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2217) |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |