Provider Demographics
NPI:1861411662
Name:KRESSE, JAMES F (MLDT-CLT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:KRESSE
Suffix:
Gender:M
Credentials:MLDT-CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4044 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:MOORESBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37811-2689
Mailing Address - Country:US
Mailing Address - Phone:423-293-0330
Mailing Address - Fax:
Practice Address - Street 1:4044 PARADISE RD
Practice Address - Street 2:
Practice Address - City:MOORESBURG
Practice Address - State:TN
Practice Address - Zip Code:37811-2689
Practice Address - Country:US
Practice Address - Phone:423-293-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist