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Individual

DR. KENNETH R CASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 STEAM PLANT RD., SUITE 300, GALLATIN, TN 37066
(615) 328-3750
(615) 328-3758
Mailing address
300 STEAM PLANT RD., SUITE 300, GALLATIN, TN 37066
(615) 328-3750
(615) 328-3758

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6361
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3142634
BC/BS PROVIDER ID
TN
05
3157547
TN
Enumeration date
08/23/2005
Last updated
07/30/2020
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