Individual
KENNETH W OLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 681-1234
(865) 982-9746
Mailing address
1928 ALCOA HWY, SUITE 324, KNOXVILLE, TN 37920-1502
(865) 524-9871
(865) 305-6695
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
029068
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189280
CIGNA
—
01
—
0840032
UNITED HEALTHCARE
—
01
—
100023403
PHP
—
01
—
180029273
RAILROAD MEDICARE
—
01
—
3063767
BLUE CROSS BLUE SHIELD
—
01
—
3333333
UMWA
—
05
—
3812701
—
TN
01
—
4016420
AETNA
—
01
—
TN0112
JOHN DEERE
—
Enumeration date
03/15/2006
Last updated
05/09/2008
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