Individual
CHASEN KENNETH HALCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10298 WALDEN ST, SODDY DAISY, TN 37379-5152
(412) 712-9301
(412) 712-8567
Mailing address
10298 WALDEN ST, SODDY DAISY, TN 37379-5152
(412) 712-9301
(412) 712-8567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5948
TN
Other
Enumeration date
10/04/2017
Last updated
07/15/2024
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