Individual
DR. KEVIN ERIC STASNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11907 KINGSTON PIKE STE 101B, KNOXVILLE, TN 37934-4876
(865) 399-6552
Mailing address
118 N PETERS RD STE 229, KNOXVILLE, TN 37923-4927
(865) 399-6552
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
MD24689
TN
207P00000X
Emergency Medicine Physician
Primary
MD24689
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082544
—
TN
05
—
3082547
—
TN
01
—
4091253
BLUE CROSS
TN
01
—
4091349
BLUE CROSS
TN
05
—
7100005490
—
KY
01
—
P00277762
RRGA
TN
01
—
P00290274
RRGA
TN
Enumeration date
06/08/2006
Last updated
01/29/2026
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