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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1891784146 NPPES
Tennessee MEDICAID 3678271

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