Healthcare Provider Details

I. General information

NPI: 1033569439
Provider Name (Legal Business Name): DR. NICHOLAS COHEN KOLINSKY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N WEISGARBER RD STE 200
KNOXVILLE TN
37909-2707
US

IV. Provider business mailing address

616 W LAMAR ALEXANDER PKWY
MARYVILLE TN
37801-3904
US

V. Phone/Fax

Practice location:
  • Phone: 866-231-0701
  • Fax:
Mailing address:
  • Phone: 865-273-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4273
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number12495
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: