Provider Demographics
NPI:1992064539
Name:KAESER, CARSON TYLER (MD)
Entity type:Individual
Prefix:DR
First Name:CARSON
Middle Name:TYLER
Last Name:KAESER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:979 E 3RD ST STE C725
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3329
Mailing Address - Country:US
Mailing Address - Phone:423-778-2580
Mailing Address - Fax:423-778-7489
Practice Address - Street 1:979 E 3RD ST STE C725
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3329
Practice Address - Country:US
Practice Address - Phone:423-778-2580
Practice Address - Fax:423-778-7489
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN58899207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology