Kaful Double Portion Family Practice, INC

NPI #1386049476 in Cleveland, Tennessee

Provider Information

NPI Number
1386049476
Entity Type
Organization
Organization Name
Kaful Double Portion Family Practice, INC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 31, 2014
Last Updated
Dec 22, 2014

Practice Location

Address
3740 OCOEE PLACE NW
Address 2
SUITE 101
ZIP Code
37312
Phone
(423) 339-7107

Authorized Official

Name
BRENDA GILBERT, NP
Title
PROVIDER/OWNER
Phone
(423) 339-7107

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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