Individual
DR. KENNETH MICHAEL BIELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, ABFP, MA, MBA
Contact information
Practice address
1924 ALCOA HWY, GRADUATE SCHOOL OF MEDICINE 1ST FLOOR, KNOXVILLE, TN 37920-1511
(864) 305-9350
(865) 305-8681
Mailing address
1924 ALCOA HWY # U67, KNOXVILLE, TN 37920-1511
(864) 305-9350
(865) 305-8681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024731
TN
208M00000X
Hospitalist Physician
24731
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-41248
UNITED HEALTH CARE
TN
01
—
100010518
PHP TENNCARE
TN
01
—
110129782
RAILROAD MEDICARE
—
01
—
1689631137
GRP NPI
TN
01
—
3023732
BLUE CROSS/BLUE SHIELD
TN
05
—
3079423
—
TN
01
—
3373352
MEDICARE GRP UFP
TN
01
—
5106119
AETNA
TN
01
—
5164017
CIGNA
TN
01
—
TN0155
JOHN DEERE
TN
Enumeration date
04/26/2006
Last updated
05/15/2019
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