Individual
DR. KEVIN SHAYNE DELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5021
Mailing address
PO BOX 11167, KNOXVILLE, TN 37939-1167
(865) 584-7376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
49680
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531702
—
TN
05
—
Q006161
—
TN
Enumeration date
04/18/2008
Last updated
10/13/2016
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