Poag, Kenneth L

Poag, Kenneth L is an sole proprietor health care provider with primary practice located at 2001 Mallory Ln , Franklin TN 37067-8233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Poag, Kenneth L can be contacted via phone (615) 771-1940.

Contact Information

Primary practice address
2001 Mallory Ln Franklin TN 37067-8233
Phone: (615) 771-1940
Fax: (615) 771-1984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8286 Tennessee

Profile Details

NPI number 1770515801
LBN Legal business name Poag, Kenneth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 7th, 2009 - about 15 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 1770515801 NPPES
Tennessee Other 4040148 BCBS
Tennessee Other 3089723 BCBS
Tennessee Other 64745870 BCBS
Tennessee MEDICAID 3155534 BCBS

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