Provider Demographics
NPI:1548220577
Name:KILE, DONNA S (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:S
Last Name:KILE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 527
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840-0527
Mailing Address - Country:US
Mailing Address - Phone:865-435-4217
Mailing Address - Fax:865-435-4299
Practice Address - Street 1:1116 E TRI COUNTY BLVD
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-6224
Practice Address - Country:US
Practice Address - Phone:865-435-4217
Practice Address - Fax:865-435-4299
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN648588OtherUH/ACN
TN0039685OtherBCBS
TN2237842OtherCIGNA
TN3673285Medicare ID - Type Unspecified
TNT-74579Medicare UPIN