Individual
JEROME F MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9333 PARK WEST BLVD, KNOXVILLE, TN 37923-4341
(865) 531-4600
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110140927
RR MEDICARE PIN
TN
05
—
3161823
—
TN
Enumeration date
06/19/2006
Last updated
05/08/2008
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