Provider Demographics
NPI:1356874028
Name:GREER, KAITLYN ELIZABETH LOUISE (MD)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:ELIZABETH LOUISE
Last Name:GREER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 TAFT HWY
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2774
Mailing Address - Country:US
Mailing Address - Phone:423-778-9434
Mailing Address - Fax:
Practice Address - Street 1:2600 TAFT HWY
Practice Address - Street 2:
Practice Address - City:SIGNAL MOUNTAIN
Practice Address - State:TN
Practice Address - Zip Code:37377-2774
Practice Address - Country:US
Practice Address - Phone:423-778-9434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-09
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN64629207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program