Organization
KNOXVILLE INTEGRATIVE MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STASNEY M.D. (OWNER)
(865) 531-6454
Entity
Organization
Contact information
Practice address
9313 S NORTHSHORE DR, KNOXVILLE, TN 37922-6548
(865) 531-6454
Mailing address
9313 S NORTHSHORE DR, KNOXVILLE, TN 37922-6548
(865) 531-6454
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37682
TN
207Q00000X
Family Medicine Physician
Primary
24689
TN
363A00000X
Physician Assistant
2302
TN
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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