Qo Wellness Pc

NPI 1497008692 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1497008692
Enumeration Date 10/25/2012
Last Updated 10/25/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KEVIN KEVIN
Position PRESIDENT
Phone (865) 274-7663
Fax
Practice Location
12744 KINGSTON PIKE
SUITE 201
KNOXVILLE TN, 37934-0940, US
Phone (865) 274-7663
Fax
Business Location
12744 KINGSTON PIKE
SUITE 201
KNOXVILLE TN, 37934-0940, US
Phone (865) 274-7663
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Tennessee
License Number 41361
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According to our database, Qo Wellness Pc NPI is 1497008692, taxonomy code is 2084P0800X and license number is 41361, license state is located at Tennessee. Qo Wellness Pc physically located at 12744 Kingston Pike, Knoxville TN, 37934-0940. NPI Number 1033115704 has the healthcare provider type.

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1497008692 NPI number is provided on an as is basis without warranty of any kind. 1497008692 is maintained by the National Plan & Provider Enumeration System. The contents of Qo Wellness Pc are for informational purposes only.