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Organization
THVC SERVICES OF KS PA
Active
Organization
THVC SERVICES OF KS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE DEAN WILLIAMS MD (OWNER/PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
(865) 693-1000
Mailing address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4052
(865) 693-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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