Kathy Qualls, | |
135 Walker St, Sparta, TN 38583-1725 | |
(931) 836-2201 | |
(931) 836-3580 |
Full Name | Kathy Qualls |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 135 Walker St, Sparta, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124471818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 87021 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kathy Qualls, 135 Walker St, Sparta, TN 38583-1725 Ph: (931) 836-2201 | Kathy Qualls, 135 Walker St, Sparta, TN 38583-1725 Ph: (931) 836-2201 |
Addison Selby, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 135 Walker St, Sparta, TN 38583 Phone: 931-836-2201 | |
Kendra L Oliver, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 135 Walker St, Sparta, TN 38583 Phone: 931-836-2201 |