Individual
KERAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4918 KINGSTON PIKE, KNOXVILLE, TN 37919-5199
(865) 588-8013
Mailing address
2121 COUNCIL FIRE DR, KNOXVILLE, TN 37918-9544
(812) 630-6265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000036375
TN
183500000X
Pharmacist
014620
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000036375
PHARMACIST LICENSE
TN
01
—
014620
PHARMACY
KY
Enumeration date
10/07/2011
Last updated
05/16/2012
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