Organization
REELFOOT LAKE INPATIENT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
161 MOUNT PELIA RD, MARTIN, TN 38237-3811
(731) 587-4261
Mailing address
815 S PALAFOX ST, STE 300, PENSACOLA, FL 32502-5960
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2013
Last updated
12/22/2020
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