Individual provider · Type 1 NPI

Kathy Qualls

Licensed Practical Nurse · Sparta, TN

NPI number 1124471818 Active

Practice location

135 Walker St
Sparta, TN 38583-1725

Fax (931) 836-3580

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X87021 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1124471818

Kathy Qualls's National Provider Identifier is 1124471818, issued on Jul 18, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sparta, TN. The record was last updated on Jul 18, 2016.