Gourley, Amber P

Gourley, Amber P is an individual health care provider with primary practice located at 444 Clinchfield St Ste 201 , Kingsport TN 37660-3863. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gourley, Amber P can be contacted via phone (423) 230-2113.

Contact Information

Primary practice address
444 Clinchfield St Ste 201 Kingsport TN 37660-3863
Phone: (423) 230-2113
Fax: (423) 230-2112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2620 Tennessee

Profile Details

NPI number 1760814271
LBN Legal business name Gourley, Amber P
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2013
Last updated Oct 4th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760814271 NPPES
Tennessee Other 2620 ST LIC

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