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General NPI Number Information
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NPI Number | 1174084040
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Entity Type | Individual
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Provider Name | SANTEIA KINNON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 9005 OVERLOOK BLVD PMB 9174
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City | BRENTWOOD
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State | TN
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Zip | 37027-5269
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Country | US
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Telephone | 615-351-9426
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Fax | 908-427-5350
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Provider Business Mailing Address
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Address Line | 9005 OVERLOOK BLVD PMB# 9174
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City | BRENTWOOD
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State | TN
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Zip | 37027-5269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 25385
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License Number State | TN
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