Healthcare Provider Details

I. General information

NPI: 1114234382
Provider Name (Legal Business Name): WELL-KEY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2010
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 VETERANS BLVD SUITE 101
SEVIERVILLE TN
37862
US

IV. Provider business mailing address

PO BOX 6430
SEVIERVILLE TN
37864-6430
US

V. Phone/Fax

Practice location:
  • Phone: 865-428-2773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH M ROTHWELL
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 865-428-2773