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Individual

KEVIN D BARNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
2150 N OCOEE ST STE 2, CLEVELAND, TN 37311-3937
(423) 559-0013
(423) 559-2442
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 697-0666

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
45PO00010800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1455062
TN
Enumeration date
02/04/2008
Last updated
02/04/2008
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