Organization
APPALACHIAN ORTHOPAEDIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN KISIEL (ADMINISTRATOR)
(423) 239-1550
Entity
Organization
Contact information
Practice address
851 LOCUST ST, HAWKINS COUNTY HOSPITAL, ROGERSVILLE, TN 37857
(423) 921-7201
(423) 921-7204
Mailing address
4105 FT HENRY DR, SUITE 300, KINGSPORT, TN 37663
(423) 239-1550
(423) 239-1544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710616
—
TN
Enumeration date
12/19/2007
Last updated
03/03/2008
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