Healthcare Provider Details

I. General information

NPI: 1225027543
Provider Name (Legal Business Name): CHRISTEEN S KAGA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 OLD MURPHY RD
FRANKLIN NC
28734-7205
US

IV. Provider business mailing address

PO BOX 660
FRANKLIN NC
28744-0660
US

V. Phone/Fax

Practice location:
  • Phone: 828-524-0560
  • Fax: 678-817-7115
Mailing address:
  • Phone: 828-524-0560
  • Fax: 678-817-7115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number29303
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: