Individual
AQUEEL M KOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
657 E BROADWAY BLVD, SUITE C, JEFFERSON CITY, TN 37760-4948
(865) 475-9062
(865) 475-9063
Mailing address
657 E BROADWAY BLVD, SUITE C, JEFFERSON CITY, TN 37760-4948
(865) 475-9062
(865) 475-9063
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD27663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099434
—
TN
Enumeration date
05/11/2006
Last updated
02/09/2024
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