Klinner Enterprises | |
9203 Lee Hwy Suite 9 Ooltewah TN 37363-6458 | |
(423) 238-4700 | |
(423) 238-4747 |
Full Name | Klinner Enterprises |
---|---|
Speciality | Internal Medicine |
Location | 9203 Lee Hwy, Ooltewah, Tennessee |
Authorized Official Name and Position | Thomas Robert Klinner (PRESIDENT) |
Authorized Official Contact | 4232384700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Klinner Enterprises 9203 Lee Hwy Suite 9 Ooltewah TN 37363-6458 Ph: (423) 238-4700 | Klinner Enterprises 9203 Lee Hwy Suite 9 Ooltewah TN 37363-6458 Ph: (423) 238-4700 |
NPI Number | 1407099716 |
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Provider Enumeration Date | 04/16/2009 |
Last Update Date | 08/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407099716 | NPI | - | NPPES |
103351 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD19093 (Tennessee) | Primary |
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