Individual
MACKENZIE STEPHEN KOHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229788
TN
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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