# KABIR CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316185937
- **Authorized official:** MS. SHIRLEY A. LEACH RN (OFFICE MANAGER)
- **Authorized official phone:** (423) 784-1197

## Contact information

- **Practice address:** 488 S FLORENCE AVE, JELLICO, TN 37762-2382
- **Practice address phone:** (423) 784-1197
- **Practice address fax:** (423) 784-4647
- **Mailing address:** 488 S FLORENCE AVE, JELLICO, TN 37762-2382
- **Mailing address phone:** (423) 784-1197
- **Mailing address fax:** (423) 784-4647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 26093 | TN | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009