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Kevin Dwayne Hyatt, BS
Student in an Organized Health Care Education/Training Program in Jefferson City, Tennessee
NPI 1699107672

Kevin Dwayne Hyatt is a Student in an Organized Health Care Education/Training Program based in Talbott, TN. Kevin Dwayne Hyatt practices in Jefferson City, TN and has the professional credentials of BS. The NPI Number for Kevin Dwayne Hyatt is 1699107672 and holds a License No. (Tennessee).

The current practice location address for Kevin Dwayne Hyatt is 120 Hospital Dr, Jefferson City, TN and can be reached out via phone at 865-471-0312 and via fax at 865-475-2802.

Location: 120 Hospital Dr, Jefferson City, TN, 37877-8605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699107672
Provider Name
Kevin Dwayne Hyatt
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
120 Hospital Dr, Jefferson City, TN, 37877-8605
Phone Number
865-471-0312
Fax Number
865-475-2802
Provider Enumeration Date
08/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 Hospital Dr
City
Jefferson City
State
Tennessee
Zip
37760-5287
Phone Number
865-471-0312
Fax Number
865-475-2802
person
Provider Business Mailing Address Details
Address
120 Hospital Dr
City
Jefferson City
State
Tennessee
Zip
37760-5287
Phone Number
865-471-0312
Fax Number
865-475-2802
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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