Healthcare Provider Details

I. General information

NPI: 1396014643
Provider Name (Legal Business Name): KASEY ELIZABETH KOHRING WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11039 PARKSIDE DR
KNOXVILLE TN
37934-1953
US

IV. Provider business mailing address

1433 W WOODSHIRE DR
KNOXVILLE TN
37922-5642
US

V. Phone/Fax

Practice location:
  • Phone: 865-392-1388
  • Fax: 865-392-1391
Mailing address:
  • Phone: 615-429-4896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number22808
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN233062
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number0024169785
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: