Mark David Kirshner, C.Ped, CO
Specialist in Ooltewah, TN. Individual provider (NPI-1).
NPI number1316036601
StatusActive
Last updated in NPPESOct 13, 2014
Details
- NPI
- 1316036601
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark David Kirshner
- Credential
- C.Ped, CO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Oct 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
8823 Production LnOoltewah, TN 37363-6511
Phone 423-238-7217 · Fax 423-285-6647
Mailing address
104 Jack Dance StKnoxville, TN 37919-5576
Phone 865-691-8381 · Fax 865-691-8574
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All 9 Specialist providers in Ooltewah · All 541 providers in Ooltewah
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