NPI 1013799766
Tiffany Leatrice Kennerly, RN
Practice location
- Address
- 1301 Riverfront Pkwy STE 209, Chattanooga, TN 37402-3312
- Phone
- (423) 634-3124
- Mailing address
- 57 Frost St, Decherd, TN 37324-2410
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1013799766
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Oct 2023
- Record last updated
- 17 Oct 2023
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.