Organization
QO WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN ORPURT LCSW (PRESIDENT)
(865) 548-1606
Entity
Organization
Contact information
Practice address
12744 KINGSTON PIKE, SUITE 201, KNOXVILLE, TN 37934-0940
(865) 274-7663
Mailing address
12744 KINGSTON PIKE, SUITE 201, KNOXVILLE, TN 37934-0940
(865) 274-7663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW3577
TN
2084P0800X
Psychiatry Physician
41361
TN
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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