Basic Information
| Provider Information | |||||||||
| NPI: | 1265455927 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STROHMEYER | ||||||||
| FirstName: | KEVIN | ||||||||
| MiddleName: | CHARLES | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1406 TUSCULUM BLVD | ||||||||
| Address2: | MOB 2 SUITE 1000 | ||||||||
| City: | GREENEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 377454332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237835510 | ||||||||
| FaxNumber: | 4237835515 | ||||||||
| Practice Location | |||||||||
| Address1: | 1406 TUSCULUM BLVD | ||||||||
| Address2: | MOB 2 SUITE 1000 | ||||||||
| City: | GREENEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 377454332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237835510 | ||||||||
| FaxNumber: | 4237835515 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 03/29/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 43755 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.