MEDICARE: MR. WILLIAM KEITH HINKLE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMT0000000239	TN

General Provider Information

NPI Number	:	1417147083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM KEITH HINKLE LMFT

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37744-0188
Country	:	US
Telephone Number	:	423-638-4171
Fax Number	:	423-638-7171

Provider Business Practice Location Address
First Line	:	900 E HILL AVE
Second Line	:	SUITE 270
City	:	KNOXVILLE
State	:	TN
Zip	:	37915-2566
Country	:	US
Telephone Number	:	865-633-9844
Fax Number	:	865-633-5855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

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