Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 2300 | TN |
NPI | 1033316484 |
---|---|
Provider Name | Jeffrie C Kindred |
First Address | Gallatin, TN 37066-8464 |
Second Address | Gallatin, TN 37066-8464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 09/03/2013 |