Individual
DR. DIRK W KINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
979 E 3RD ST, SUITE C-225, CHATTANOOGA, TN 37403-2136
(423) 778-5995
(423) 778-5994
Mailing address
975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-5630
(423) 778-3146
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505940
—
TN
05
—
575720465D
—
GA
Enumeration date
07/10/2006
Last updated
10/28/2015
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