Healthcare Provider Details

I. General information

NPI: 1770983835
Provider Name (Legal Business Name): KARI E. RADER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 ALCOA HWY STE 130
KNOXVILLE TN
37920-1545
US

IV. Provider business mailing address

PO BOX 440028
NASHVILLE TN
37244-0028
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9040
  • Fax: 865-305-6188
Mailing address:
  • Phone: 865-670-6199
  • Fax: 865-670-6198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number19011
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: