KINGSPORT ANESTHESIA ASSOCIATES LLC

KINGSPORT, TN
NPI1245777036
Entity TypeOrganization
Authorized ContactPHILLIP CLENDENIN
President
615-665-1283
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2017-01-31
Last Update Date2017-01-31
Business Address
KINGSPORT ANESTHESIA ASSOCIATES LLC
999 EXECUTIVE PARK BLVD SUITE 100
KINGSPORT, TN 37660-4632
Phone number: 423-247-2022
Mailing Address
KINGSPORT ANESTHESIA ASSOCIATES LLC
1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT
NASHVILLE, TN 37215-6187
Phone number: 615-240-3809
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