KELLY DEVAULT, AS

Nurse's Aide

Active Individual
NPI: 1093574196

Practice Address

880 RUTLEDGE PIKE
Blaine, TN 37709

Phone: (865) 933-4110

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X Yes -

Frequently Asked Questions

NPI 1093574196 is the National Provider Identifier for KELLY DEVAULT, AS, a Nurse's Aide provider located in Blaine, TN. This NPI was enumerated on March 19, 2024.
KELLY DEVAULT, AS practices at 880 RUTLEDGE PIKE, Blaine, TN 37709.

Quick Facts

NPI
1093574196
Type
Individual
Enumerated
Mar 19, 2024
Last Updated
Mar 19, 2024

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