Kizziah, Stacy

Kizziah, Stacy is an sole proprietor health care provider with primary practice located at 14000 Dry Valley Rd , Loudon TN 37774-5050. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Kizziah, Stacy can be contacted via phone (865) 548-3020.

Contact Information

Primary practice address
14000 Dry Valley Rd Loudon TN 37774-5050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 00425PTA Tennessee

Profile Details

NPI number 1275082315
LBN Legal business name Kizziah, Stacy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2016
Last updated Sep 30th, 2016 - about 9 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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