Individual
DR. JOHN KANDILAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
135 FOX ROAD, SUITE E, KNOXVILLE, TN 37922
(865) 694-8792
(865) 531-3948
Mailing address
132 ESSEX DRIVE, 135 FOX ROAD SUITE E, KNOXVILLE, TN 37922
(865) 693-9007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P0000000105
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002008821
BCBS
TN
Enumeration date
05/25/2007
Last updated
07/08/2007
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