Individual
DR. C KEITH HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2607 KINGSTON PIKE STE 250, KNOXVILLE, TN 37919-3331
(865) 264-4000
(865) 588-6406
Mailing address
2607 KINGSTON PIKE STE 250, KNOXVILLE, TN 37919-3331
(865) 264-4000
(865) 588-6406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1235
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3681783
—
TN
Enumeration date
07/05/2006
Last updated
10/16/2023
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