Brody, Kirk Warren

Brody, Kirk Warren is an individual health care provider with primary practice located at 2341 Mccallie Ave Plaza 3 Suite 403, Chattanooga TN 37404-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brody, Kirk Warren can be contacted via phone (423) 602-9764.

Contact Information

Primary practice address
2341 Mccallie Ave Plaza 3 Suite 403 Chattanooga TN 37404-3239
Phone: (423) 602-9764
Fax: (423) 602-9690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29154 Tennessee

Profile Details

NPI number 1497720759
LBN Legal business name Brody, Kirk Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 30th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497720759 NPPES
Tennessee Other 29154 TN MEDICAL LICENSE #

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