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1790849081
KENNETH NICKLE
GREENEVILLE, TN
NPI
1790849081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 2153)
Enumeration Date
2006-12-20
Last Update Date
2018-04-17
Business Address
KENNETH NICKLE DO
555 JUSTIS DR
GREENEVILLE, TN 37745-4288
Phone number: 423-783-7965
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Mailing Address
KENNETH NICKLE DO
1225 E WEISGARBER RD SUITE 200
KNOXVILLE, TN 37909-2604
Phone number: 865-584-4747
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