Organization
CONCORD COMPANY OF TENNESSEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY KYLE SHEETS MD (AUTHORIZED OFFICIAL)
(888) 264-0330
Entity
Organization
Contact information
Practice address
910 WALLACE AVE, LEITCHFIELD, KY 42754-2414
(270) 256-9400
Mailing address
PO BOX 3689, DEPT 504, SUGAR LAND, TX 77487-3310
(888) 264-0330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100586370
—
KY
05
—
7100586380
—
KY
05
—
7100598590
—
KY
Enumeration date
01/03/2019
Last updated
07/30/2024
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