Memory, Kendall Evone

Memory, Kendall Evone is an individual health care provider with primary practice located at 4600 Asheville Hwy , Knoxville TN 37914-3665. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Memory, Kendall Evone can be contacted via phone (865) 522-8114.

Contact Information

Primary practice address
4600 Asheville Hwy Knoxville TN 37914-3665
Phone: (865) 522-8114
Fax: (865) 522-1161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23375 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 23375 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 23375 Tennessee

Profile Details

NPI number 1487167656
LBN Legal business name Memory, Kendall Evone
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2017
Last updated Feb 26th, 2019 - about 5 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 1487167656 NPPES
Tennessee MEDICAID Q033936

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