Organization
CHRISTENBERRY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WILLIAM CHRISTENBERRY JR. MD (PRESIDENT)
(865) 522-5155
Entity
Organization
Contact information
Practice address
1318 W CLINCH AVE, KNOXVILLE, TN 37916-2612
(865) 522-5155
(865) 522-5157
Mailing address
1318 W CLINCH AVE, KNOXVILLE, TN 37916-2612
(865) 522-5155
(865) 522-5157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD5549
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3375360
—
TN
Enumeration date
08/01/2007
Last updated
08/01/2007
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