Individual
LIVANA THERESA KOZNESOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 20TH ST STE 503, KNOXVILLE, TN 37916-1832
(865) 331-4321
Mailing address
501 20TH ST STE 503, KNOXVILLE, TN 37916-1832
(865) 331-4321
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
70372
TN
2084V0102X
Vascular Neurology Physician
Primary
70372
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q092425
—
TN
Enumeration date
03/19/2019
Last updated
12/18/2024
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