| Ksp Health - Tn Llc | |
|
116 Agnes Rd Ste 200 Knoxville TN 37919-6306 | |
| (316) 516-2853 | |
| Not Available |
| Full Name | Ksp Health - Tn Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 116 Agnes Rd Ste 200, Knoxville, Tennessee |
| Authorized Official Name and Position | Muthukumar Vellaichamy (SOLE MEMBER) |
| Authorized Official Contact | 3165162853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ksp Health - Tn Llc 6446 E Central Ave Ste 183 Wichita KS 67206-1923 Ph: (316) 516-2853 | Ksp Health - Tn Llc 116 Agnes Rd Ste 200 Knoxville TN 37919-6306 Ph: (316) 516-2853 |
| NPI Number | 1154167666 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154167666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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