Killman Josue Boutet RN

NPI 1740430768 - Registered Nurse - 163W00000X

NPI Details
NPI 1740430768
Gender Male
Enumeration Date 09/26/2008
Last Updated 09/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
921 EAST THIRD STREET
CHATTANOOGA TN, 37403-2165, US
Phone (423) 209-8306
Fax
Business Location
3863 LAKE KATHY RD
TUNNEL HILL GA, 30755-9716, US
Phone (706) 516-4229
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Tennessee
License Number 164849
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According to our database, Killman Josue Boutet RN NPI is 1740430768, taxonomy code is 163W00000X and license number is 164849, license state is located at Tennessee. Killman Josue Boutet RN physically located at 921 East Third Street, Chattanooga TN, 37403-2165. NPI Number Killman Josue Boutet RN has the Individual type.

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1740430768 NPI number is provided on an as is basis without warranty of any kind. 1740430768 is maintained by the National Plan & Provider Enumeration System. The contents of Killman Josue Boutet RN are for informational purposes only.