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Individual

DR. HUSSEIN ALWAN KAMMONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1924 ALCOA HIGHWAY, KNOXVILLE, TN 37920-1511
(865) 544-9000
(865) 539-8008
Mailing address
1608 PERSIMMON LN, KNOXVILLE, TN 37922-7126
(865) 320-6008

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD30198
TN
207R00000X
Internal Medicine Physician
Primary
30198
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3095965
BCBS OF TENNESSEE
TN
05
3825792
TN
05
64043169
KY
01
930096029
RAILROAD MEDICARE
TN
Enumeration date
09/15/2006
Last updated
01/11/2024
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