Integrative Medicine Specialists Llc

NPI 1174923296 - Psychologist - 103TC0700X

NPI Details
NPI 1174923296
Enumeration Date 08/26/2014
Last Updated 08/26/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name C KEITH C KEITH
Position MEMBER
Phone (865) 235-1254
Fax
Practice Location
9333 PARK WEST BLVD
KNOXVILLE TN, 37923-4341, US
Phone (865) 235-1254
Fax
Business Location
305 WESTFIELD RD
KNOXVILLE TN, 37919-4824, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Tennessee
License Number P1235
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According to our database, Integrative Medicine Specialists Llc NPI is 1174923296, taxonomy code is 103TC0700X and license number is P1235, license state is located at Tennessee. Integrative Medicine Specialists Llc physically located at 9333 Park West Blvd, Knoxville TN, 37923-4341. NPI Number 1033115704 has the healthcare provider type.

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1174923296 NPI number is provided on an as is basis without warranty of any kind. 1174923296 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Medicine Specialists Llc are for informational purposes only.