Individual provider · Type 1 NPI

Kevin Dwayne Hyatt, B.S.

Student in an Organized Health Care Education/Training Program · Jefferson City, TN

NPI number 1699107672 Active

Practice location

120 Hospital Dr, Suite 230
Jefferson City, TN 37760-5287

Call (865) 471-0312 Map

Fax (865) 475-2802

Mailing address

6350 W Andrew Johnson Hwy, Department 100
Talbott, TN 37877-8605

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1699107672

Kevin Dwayne Hyatt, B.S.'s National Provider Identifier is 1699107672, issued on Aug 1, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson City, TN. The record was last updated on Aug 1, 2013.