Basic Information
| Provider Information | |||||||||
| NPI: | 1992064539 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAESER | ||||||||
| FirstName: | CARSON | ||||||||
| MiddleName: | TYLER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 979 E 3RD ST STE C725 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374033329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237782580 | ||||||||
| FaxNumber: | 4237787489 | ||||||||
| Practice Location | |||||||||
| Address1: | 979 E 3RD ST STE C725 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374033329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237782580 | ||||||||
| FaxNumber: | 4237787489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2012 | ||||||||
| LastUpdateDate: | 06/17/2019 | ||||||||
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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 | 207V00000X | 58899 | TN | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VF0040X | 58899 | TN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Female Pelvic Medicine and Reconstructive Surgery |
No ID Information.