| NPI Details | |
|---|---|
| NPI | 1558783464 |
| Enumeration Date | 01/11/2014 |
| Last Updated | 06/16/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | JACQUELINE JACQUELINE |
| Position | OWNER |
| Phone | (865) 771-0205 |
| Fax | |
| Practice Location | |
|---|---|
| 431 PARK VILLAGE RD SUITE 103 KNOXVILLE TN, 37923-3849, US |
|
| Phone | (865) 771-0205 |
| Fax | |
| Business Location | |
|---|---|
| 10401 LAUREL POINTE LN KNOXVILLE TN, 37931-3118, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP3300X |
| License State | Tennessee |
| License Number | 16115 |
| Remove 1558783464 NPI Number | |
According to our database, West Knox Health Inc NPI is 1558783464, taxonomy code is 261QP3300X and license number is 16115, license state is located at Tennessee. West Knox Health Inc physically located at 431 Park Village Rd, Knoxville TN, 37923-3849. NPI Number 1033115704 has the healthcare provider type.
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1558783464 NPI number is provided on an as is basis without warranty of any kind. 1558783464 is maintained by the National Plan & Provider Enumeration System. The contents of West Knox Health Inc are for informational purposes only.
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