Organization
DR. MARK KESTNER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KESTNER (OWNER)
(615) 895-1253
Entity
Organization
Contact information
Practice address
1435 NW BROAD ST, MURFREESBORO, TN 37129-1707
(615) 895-1253
(615) 895-1219
Mailing address
1435 NW BROAD ST, MURFREESBORO, TN 37129-1707
(615) 895-1253
(615) 895-1219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2593
TN
111N00000X
Chiropractor
Primary
598
TN
111NS0005X
Sports Physician Chiropractor
598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194884445
INDIVIDUAL NPI
—
Enumeration date
04/12/2013
Last updated
04/12/2013
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