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Search › Tennessee › 363LF0000X

Kaci Henard

NPI 1467111989 · on the registry since 2021 · sole proprietor

Practice

Address
2205 Jacksboro Pike
La Follette, TN 37766
Phone
(423) 352-6500
Organisation at this address
Eastlake Medical, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee