Kenn Vattathara, MD is a student in an organized health care education training program in Mountain Home, TN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kenn Vattathara, MD NPI is 1114500592. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
BUILDING 52/ LAKE DRIVE
MOUNTAIN HOME, TN
ZIP 37684
Phone: (423) 439-8000
Fax: (423) 439-2200
The enumeration date for this NPI number is 5/3/2021 and was last updated on 5/3/2021.