NPI 1891039574

Traci L Kilmartin, LPCP

Practitioner Prosthetist Chattanooga, TN

Practice location

Address: 2108 E 3rd St Suite 100, Chattanooga, TN 37404-2600
Phone: (423) 267-0466
Mailing address: 2108 E 3rd St STE 100, Chattanooga, TN 37404-2623

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PRO183 (TN)

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Registry record

NPI: 1891039574
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2012
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.