Waller, Kathryn Elizabeth

Waller, Kathryn Elizabeth is an individual health care provider with primary practice located at 1805 N Jackson St , Tullahoma TN 37388-2290. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waller, Kathryn Elizabeth can be contacted via phone (931) 455-7767.

Contact Information

Primary practice address
1805 N Jackson St Tullahoma TN 37388-2290
Phone: (931) 455-7767
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16415 Tennessee

Profile Details

NPI number 1841562907
LBN Legal business name Waller, Kathryn Elizabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2012
Last updated Sep 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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