Individual
DR. KEVIN E. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DRIVE,, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
3348
TN
207P00000X
Emergency Medicine Physician
Primary
MD037348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3885824
—
TN
Enumeration date
12/13/2006
Last updated
11/18/2011
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