Organization
INTEGRATIVE MEDICINE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C KEITH HULSE PH.D. (MEMBER)
(865) 264-2400
Entity
Organization
Contact information
Practice address
9333 PARK WEST BLVD, KNOXVILLE, TN 37923-4341
(865) 235-1254
Mailing address
305 WESTFIELD RD, KNOXVILLE, TN 37919-4824
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1235
TN
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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