Kelly Jane Devault, AS

NPI #1093574196 in Blaine, Tennessee

Provider Information

NPI Number
1093574196
Entity Type
Individual
Name
Kelly Jane Devault, AS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse's Aide
Credential
AS
Enumeration Date
Mar 19, 2024
Last Updated
Mar 19, 2024

Practice Location

Address
880 RUTLEDGE PIKE
City
Blaine
ZIP Code
37709-2317
Phone
(865) 933-4110

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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