Individual
KEVIN MATTHEW MARTINOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1928 ALCOA HWY, MEDICAL BUILDING B, SUITE 119, KNOXVILLE, TN 37920-1502
(865) 305-8761
(865) 305-9869
Mailing address
1928 ALCOA HWY, MEDICAL BUILDING B, SUITE 119, KNOXVILLE, TN 37920-1502
(865) 305-8761
(865) 305-9869
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
31837
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3843482
—
TN
Enumeration date
08/01/2006
Last updated
04/09/2015
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