Healthcare Provider Details
I. General information
NPI: 1063557973
Provider Name (Legal Business Name): KNOX COUNTY GOVERNMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 05/31/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 DAMERON AVENUE
KNOXVILLE TN
37917
US
IV. Provider business mailing address
140 DAMERON AVENUE
KNOXVILLE TN
37917
US
V. Phone/Fax
- Phone: 865-215-5000
- Fax: 865-215-5295
- Phone: 865-215-5000
- Fax: 865-215-5295
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
KEVIN
PARTON
Title or Position: SENIOR DIRECTOR-KNOX COUNTY HEALTH
Credential:
Phone: 865-215-5273