Individual
CONRAD BLAKE IVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
(865) 560-8525
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
52697
TN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
52697
TN
Other
Enumeration date
07/01/2009
Last updated
02/17/2026
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