Healthcare Provider Details

I. General information

NPI: 1639163462
Provider Name (Legal Business Name): KARIE A. MCLEVAIN-WELLS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIE ANN MCLEVAIN M.D.

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S PETERS RD STE 105
KNOXVILLE TN
37923-5207
US

IV. Provider business mailing address

PO BOX 15004
KNOXVILLE TN
37901-5004
US

V. Phone/Fax

Practice location:
  • Phone: 865-470-8844
  • Fax: 866-479-4403
Mailing address:
  • Phone: 865-541-8895
  • Fax: 865-633-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32216
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: