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Individual

DR. PETER JOSEPH KAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772-5673
(865) 271-6000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-4706

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40355
TN
207P00000X
Emergency Medicine Physician
BK7439258
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3337657
TN
05
3337658
TN
01
4116093
BLUE CROSS
TN
01
4138421
BLUE CROSS
TN
01
P00297362
RAILROAD MEDICARE
TN
Enumeration date
06/13/2006
Last updated
01/30/2008
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