Individual
RICHARD MATTHEW FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
Mailing address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1153
TN
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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