Individual
KEVIN GENE MOUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-4226
(423) 634-4222
Mailing address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-4226
(423) 634-4222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3662060
—
TN
01
—
4131998
BCBSTN
TN
Enumeration date
06/14/2006
Last updated
10/11/2007
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