Individual
KIRSTEN INGEBORG SASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1262
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510139
—
TN
01
—
3380640
MEDICARE GROUP
TN
01
—
PA1262
PA LICENSE NUMBER
TN
01
—
Q54706
UPIN
TN
Enumeration date
09/13/2005
Last updated
05/20/2013
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