Provider Demographics
NPI:1962848713
Name:KADRIE PARTNERS
Entity Type:Organization
Organization Name:KADRIE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND ACCOUNTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-643-0211
Mailing Address - Street 1:721 GLENWOOD DR
Mailing Address - Street 2:SUITE 467 WEST
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1106
Mailing Address - Country:US
Mailing Address - Phone:423-698-3423
Mailing Address - Fax:423-698-1380
Practice Address - Street 1:721 GLENWOOD DR
Practice Address - Street 2:SUITE 467 WEST
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1106
Practice Address - Country:US
Practice Address - Phone:423-698-3423
Practice Address - Fax:423-698-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000100712084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3163005Medicare PIN