Individual
KENNETH FREDERICK LUCKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Mailing address
988 OAK RIDGE TPKE, SUITE 200, PHYSICIANS PLAZA, OAK RIDGE, TN 37830-6930
(865) 483-4366
(865) 483-5957
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8667
TN
Other
Enumeration date
08/30/2005
Last updated
07/02/2010
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