Individual
DONALD K MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.P.A.
Contact information
Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4500
(865) 769-4501
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
650
TN
363AM0700X
Medical Physician Assistant
650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518388
—
TN
Enumeration date
03/13/2007
Last updated
05/14/2020
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