# OAK RIDGE GASTROENTEROLOGY ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154314615
- **Authorized official:** KENNETH F LUCKMANN MD (PRESIDENT)
- **Authorized official phone:** (865) 483-4366

## Contact information

- **Practice address:** 988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
- **Practice address phone:** (865) 483-4366
- **Practice address fax:** (865) 483-5957
- **Mailing address:** 988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
- **Mailing address phone:** (865) 483-4366
- **Mailing address fax:** (865) 483-5957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 08/22/2020