Individual
KURT MILLER CHAMBLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2051-B HAMILL RD., HIXSON, TN 37343
(423) 877-4705
(423) 877-9970
Mailing address
2051-B HAMILL RD, HIXSON, TN 37343
(423) 877-4705
(423) 877-9970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17904
TN
207X00000X
Orthopaedic Surgery Physician
Primary
MD0000017904
TN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
17904
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704075
—
TN
Enumeration date
09/19/2007
Last updated
08/22/2011
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