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Individual

DR. MARK R. KAPPERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1720 GUNBARREL RD, STE 100, CHATTANOOGA, TN 37421-3192
(423) 892-2020
(423) 855-0329
Mailing address
1720 GUNBARREL RD, STE 100, CHATTANOOGA, TN 37421-3192
(423) 892-2020
(423) 855-0329

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001120
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080782
BCBS
TN
01
0T42064
UNITED HEALTHCARE
TN
Enumeration date
08/29/2005
Last updated
06/23/2008
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