Liles, Katelyn Marie

Liles, Katelyn Marie is an individual health care provider with primary practice located at 145 E Vance Rd , Oak Ridge TN 37830-6528. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Liles, Katelyn Marie can be contacted via phone (865) 482-4088.

Contact Information

Primary practice address
145 E Vance Rd Oak Ridge TN 37830-6528
Phone: (865) 482-4088
Fax: (866) 674-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15792 Tennessee

Profile Details

NPI number 1740574508
LBN Legal business name Liles, Katelyn Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2011
Last updated Oct 3rd, 2022 - about 3 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 1740574508 NPPES
Tennessee MEDICAID 1525186

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