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NPI Code Detail

MEDICARE: DR. KENNETH F COFER MD

MEDICARE: DR. KENNETH F COFER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VX0201XGynecologic Oncology PhysicianMD28234TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24243363OTHERTNBCBST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497759773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH F COFER MD
Provider Business Mailing Address
First Line : 1915 WHITE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-2300
Country : US
Telephone Number : 865-331-1720
Fax Number :
Provider Business Practice Location Address
First Line : 1915 WHITE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37916-2300
Country : US
Telephone Number : 865-331-1720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 08/24/2020

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Directions to “ DR. KENNETH F COFER MD” Practice Location

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