Fielden, Kevin Douglas
Fielden, Kevin Douglas is an sole proprietor health care provider with primary practice located at 3043 Boones Creek Rd Ste 107, Johnson City TN 37615-4959. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fielden, Kevin Douglas can be contacted via phone (423) 929-2225.Contact Information
Primary practice address
3043 Boones Creek Rd Ste 107
Johnson City TN 37615-4959
Phone: (423) 929-2225
Fax: (888) 639-0839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC1283 | Tennessee |
Profile Details
| NPI number | 1891784146 |
|---|---|
| LBN Legal business name | Fielden, Kevin Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 18th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891784146 | NPPES |
| Tennessee | MEDICAID | 3678271 |
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