Individual
KEN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 SHALLOWFORD RD, SUITE 443, CHATTANOOGA, TN 37421-2285
(423) 756-2268
(423) 266-9690
Mailing address
7715 MAINLAND DR, SUITE 108, SAN ANTONIO, TX 78250-6007
(210) 520-6481
(866) 686-2859
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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