Individual
KEVIN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 N CHARLES G SEIVERS BLVD, SUITE 22, CLINTON, TN 37716-3946
(865) 766-5194
Mailing address
1115 N CHARLES G SEIVERS BLVD, SUITE 22, CLINTON, TN 37716-3946
(865) 766-5194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000000373
TN
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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