Individual
DR. PETER B KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 122B, HENDERSONVILLE, TN 37075-2379
(615) 824-3737
(855) 540-4722
Mailing address
131 SAUNDERSVILLE ROAD, 160, HENDERSONVILLE, TN 37075
(615) 824-3737
(855) 540-4722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36963
TN
207L00000X
Anesthesiology Physician
MD36963
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD0000036963
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD36963
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069948
AMERIGROUP
TN
05
—
3377000
—
TN
05
—
3878748
—
TN
01
—
4129006
BCBS
TN
01
—
7502422
AETNA
TN
01
—
P00450337
RAILROAD MEDICARE
TN
Enumeration date
08/11/2005
Last updated
07/14/2015
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