KAFUL DOUBLE PORTION FAMILY PRACTICE INC NPI 1386049476

NPI Information

NPI: 1386049476
Provider Name: KAFUL DOUBLE PORTION FAMILY PRACTICE, INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 44D2085219

Address:
3740 OCOEE PLACE NW
SUITE 101
CLEVELAND, TN
ZIP 37312
Phone: (423) 339-7107
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KAFUL DOUBLE PORTION FAMILY PRACTICE, INC is a family nurse practitioner in Cleveland, TN. KAFUL DOUBLE PORTION FAMILY PRACTICE, INC NPI is 1386049476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3740 OCOEE PLACE NW
SUITE 101
CLEVELAND, TN
ZIP 37312
Phone: (423) 339-7107
Fax: (423) 339-6717

The provider's authorized official is Brenda Gilbert .
The authorized official title is Provider/owner and has the following contact phone number (423) 339-7107.

The CLIA number assigned to this NPI record is 44D2085219 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2014 and was last updated on 12/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN0000014265	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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