MEDICARE: CHRIS A KLENCK M.D.

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	207QS0010X	Sports Medicine (Family Medicine) Physician	01060568A	IN
2	207RS0010X	Sports Medicine (Internal Medicine) Physician	41783	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00903946	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7827802	OTHER		AETNA
2	TN01L8	OTHER	TN	JOHN DEERE HEALTHCARE
4	4140843	OTHER	TN	BLUECROSS BLUESHIELD
5	8832551	OTHER	TN	CIGNA

General Provider Information

NPI Number	:	1528097771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS A KLENCK M.D.

Provider Business Mailing Address
First Line	:	8320 E WALKER SPRINGS LN STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-3120
Country	:	US
Telephone Number	:	865-769-4500
Fax Number	:	865-769-4501

Provider Business Practice Location Address
First Line	:	1551 LAKE LOUDON BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37996-2674
Country	:	US
Telephone Number	:	865-475-4484
Fax Number	:

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

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	01/14/2026

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Directions to “ CHRIS A KLENCK M.D.” Practice Location

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