Organization
APPALACHIAN ORTHOPAEDIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN KISIEL (ADMINISTRATOR)
(423) 239-1550
Entity
Organization
Contact information
Practice address
2202 JOHN B DENNIS HWY, SUITE 100, KINGSPORT, TN 37660
(423) 245-3161
(423) 857-8129
Mailing address
4105 FORT HENRY DR, SUITE 300, KINGSPORT, TN 37663-2240
(423) 239-1550
(423) 239-1544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710612
—
TN
01
—
CD1842
RAILROAD MEDICARE
TN
Enumeration date
06/04/2006
Last updated
08/13/2012
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