Individual
SPENCER PAUL KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 374-2117
Mailing address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 374-2117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q107123
—
TN
Enumeration date
03/22/2022
Last updated
10/03/2025
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