Provider Demographics
NPI:1205639648
Name:FREER-PARRIS, KAYSIE ANGEL (MD)
Entity type:Individual
Prefix:
First Name:KAYSIE
Middle Name:ANGEL
Last Name:FREER-PARRIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KAYSIE
Other - Middle Name:ANGEL
Other - Last Name:FREER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:979 E 3RD ST STE C720
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3329
Mailing Address - Country:US
Mailing Address - Phone:423-778-7515
Mailing Address - Fax:
Practice Address - Street 1:979 E 3RD ST STE C720
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3329
Practice Address - Country:US
Practice Address - Phone:423-778-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program