Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 2497 | OK |
N | 152W00000X | Optometrist | 2691 | TN |
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2691 | TN |
NPI | 1255446076 |
---|---|
Provider Name | Dr. Kristen Pumphrey |
First Address | Jonesborough, TN 37659-1439 |
Second Address | Jonesborough, TN 37659-1439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 24/07/2014 |