Summer Kylene Blevins | Kingsport, TN • PECOS Search

Summer Kylene Blevins

Case Manager/Care Coordinator

Other Service Providers

2001 Stonebrook Pl, Kingsport, TN 37660-4000

(423) 224-1000 (423) 467-3600

PECOS Enrollment

Based on the most recent information from CMS, provider Summer Kylene Blevins does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1477714806
Provider Type
Individual
Full Name
Blevins, Summer Kylene
Credential
BS

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2008
Last Updated
6/18/2008

Contact Information

Practice Location

2001 Stonebrook Pl, Kingsport, TN 37660-4000

(423) 224-1023

Mailing Location

PO Box 9054, Gray, TN 37615-9054

(423) 467-3644

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer