Kilmartin, Traci L

Kilmartin, Traci L is an sole proprietor health care provider with primary practice located at 2108 E 3Rd St Suite 100, Chattanooga TN 37404-2600. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Kilmartin, Traci L can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd St Suite 100 Chattanooga TN 37404-2600
Phone: (423) 267-0466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PRO183 Tennessee

Profile Details

NPI number 1891039574
LBN Legal business name Kilmartin, Traci L
Credentials LP, CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 18th, 2015 - about 10 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 1891039574 NPPES
Tennessee Other PRO183 TN PROSTHETIS LICENSE

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