KACIE WILKES POLACEK

CHATTANOOGA, TN
NPI1740685684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN19732)
Enumeration Date2014-11-04
Last Update Date2021-07-20
Business Address
KACIE WILKES POLACEK
910 BLACKFORD ST SUITE 102
CHATTANOOGA, TN 37403-1405
Phone number: 423-778-6472
Mailing Address
KACIE WILKES POLACEK
975 E 3RD ST ATTN: PROVIDER ENROLLMENT
CHATTANOOGA, TN 37403-2147
Phone number: 423-778-6472
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