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Individual

DR. JAMES W. KIRKSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 541-1111
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7391
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3122021
BLUE CROSS
TN
05
3180695
TN
05
3180696
TN
01
4082247
BLUE CROSS
TN
01
P00243023
RAILROAD MEDICARE
TN
Enumeration date
06/09/2006
Last updated
11/29/2007
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