Individual provider · Type 1 NPI

Mark David Kirshner, C.PED, CO

Specialist · Ooltewah, TN

NPI number 1316036601 Active

Practice location

8823 Production Ln
Ooltewah, TN 37363-6511

Call (423) 238-7217 Map

Fax (423) 285-6647

Mailing address

104 Jack Dance St
Knoxville, TN 37919-5576

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316036601

Mark David Kirshner, C.PED, CO's National Provider Identifier is 1316036601, issued on Oct 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ooltewah, TN. The record was last updated on Oct 13, 2014.