Individual
KRISTEN MARIE WOLFENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 270-6600
(865) 374-2102
Mailing address
423 MEDICAL PARK DR STE 100, LENOIR CITY, TN 37772-5641
(865) 270-6600
(865) 374-2102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO0000002801
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534541
—
TN
Enumeration date
05/03/2010
Last updated
04/29/2021
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