Individual provider · Type 1 NPI

Phyllis Tucker Kilgore

Licensed Practical Nurse · Cookeville, TN

NPI number 1356567069 Active

Practice location

90 W 8th St
Cookeville, TN 38505-0001

Call (931) 372-3320 Map

Fax (931) 372-3848

Mailing address

4627 Rickman Rd
Cookeville, TN 38506-7731

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X33008 (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 1356567069

Phyllis Tucker Kilgore's National Provider Identifier is 1356567069, issued on Apr 18, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cookeville, TN. The record was last updated on Jul 8, 2007.