NPI 1316076623

Kimberly Marlene Dew, HSLPN

Practitioner Attendant Care Provider Tennessee Ridge, TN

Practice location

Address: 1330 N Main St, Tennessee Ridge, TN 37178-4003
Phone: (931) 721-3312

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X Licence LPN0000067132 (TN)

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Registry record

NPI: 1316076623
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2007
Record last updated: 8 Jul 2007

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.