Individual
DOROTHY E. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
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
363A00000X
Physician Assistant
Primary
1644
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510456
—
TN
01
—
4213359
BLUECROSS BLUESHIELD
TN
01
—
P01519180
RAILROAD MEDICARE
TN
Enumeration date
10/13/2008
Last updated
06/30/2017
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