Individual
DR. KEITH ALLEN TONKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 747-1000
(901) 747-1001
Mailing address
6305 HUMPHREYS BLVD, SUITE 205, MEMPHIS, TN 38120-2377
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A103522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1035220
—
CA
Enumeration date
05/17/2008
Last updated
11/19/2009
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