Healthcare Provider Details

I. General information

NPI: 1396381976
Provider Name (Legal Business Name): KNOX COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 DAMERON AVE
KNOXVILLE TN
37917-6413
US

IV. Provider business mailing address

140 DAMERON AVE
KNOXVILLE TN
37917-6413
US

V. Phone/Fax

Practice location:
  • Phone: 865-215-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: ALICIA PRITCHARD
Title or Position: LPN
Credential:
Phone: 865-293-6145