Healthcare Provider Details

I. General information

NPI: 1124699921
Provider Name (Legal Business Name): ERIN ELIZABETH KALINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6059 ARBURY WAY # 101
COLLEGE DALE TN
37363-5001
US

IV. Provider business mailing address

7168 HIGH ALPINE LN
KNOXVILLE TN
37918-0993
US

V. Phone/Fax

Practice location:
  • Phone: 443-883-5047
  • Fax:
Mailing address:
  • Phone: 443-883-5047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: