Individual
KENNY R SIZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8975 EXECUTIVE PARK DR, SUITE 200, KNOXVILLE, TN 37923-3624
(865) 691-4100
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23575
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0030656
RR MEDICARE PIN
TN
Enumeration date
01/12/2006
Last updated
11/01/2016
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