Whalio Doctors

NPI 1386049476

Kaful Double Portion Family Practice, INC

Organisation Family Nurse Practitioner Cleveland, TN

Practice location

Address
3740 Ocoee Place NW Suite 101, Cleveland, TN 37312
Phone
(423) 339-7107
Fax
(423) 339-6717

Authorised official

Name
Brenda Gilbert
Title
Provider/Owner
Phone
(423) 339-7107

Registered specialties

Family Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence APN0000014265 (TN)

Registry record

NPI
1386049476
Entity type
Organization
NPI issued
31 Oct 2014
Record last updated
22 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.