Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 42515 | TN |
NPI | 1114979150 |
---|---|
Provider Name | Dr. James Kirk Bass |
First Address | Knoxville, TN 37920-1500 |
Second Address | Knoxville, TN 37920-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 16/12/2015 |