Mounce, Kevin Gene

Mounce, Kevin Gene is an individual health care provider with primary practice located at 1 Siskin Plz , Chattanooga TN 37403-1306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mounce, Kevin Gene can be contacted via phone (423) 634-4226.

Contact Information

Primary practice address
1 Siskin Plz Chattanooga TN 37403-1306
Phone: (423) 634-4226
Fax: (423) 634-4222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000053 Tennessee

Profile Details

NPI number 1508809617
LBN Legal business name Mounce, Kevin Gene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 11th, 2007 - about 17 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 1508809617 NPPES
Tennessee MEDICAID 3662060
Tennessee Other 4131998

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