Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reelfoot Lake Inpatient Services, PLLC

Organization Emergency Medicine Physician · NPI 1164858171

Reelfoot Lake Inpatient Services, PLLC is an Emergency Medicine Physician in Martin, Tennessee. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

161 Mount Pelia Rd
Martin, TN 38237-3811
Phone: (731) 587-4261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1164858171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedSeptember 23, 2013
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address815 S Palafox St, Ste 300, Pensacola, FL 32502-5960

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