Individual provider · Type 1 NPI
Kevin Timothy Haag, DPM
Foot & Ankle Surgery Podiatrist · Ooltewah, TN
NPI number
1174044010
Active
Practice location
4957 Swinyar Dr Ste 105
Ooltewah, TN 37363-2205
Fax (423) 396-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 877 (TN) |
| Podiatrist | 213E00000X | 877 (TN) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1174044010
Kevin Timothy Haag, DPM's National Provider Identifier is 1174044010, issued on Jun 30, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ooltewah, TN. The record was last updated on Sep 1, 2026.