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NPI Code Detail

MEDICARE: KRYSTAL TRENCHFIELD WOOLMAN PA-C

MEDICARE:   KRYSTAL TRENCHFIELD WOOLMAN  PA-C
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
1363A00000XPhysician Assistant0010-09880NC
2363A00000XPhysician Assistant4131TN

General Provider Information

NPI Number : 1538790985
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTAL TRENCHFIELD WOOLMAN PA-C
Provider Business Mailing Address
First Line : 1400 DOWELL SPRINGS BLVD STE 330
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2445
Country : US
Telephone Number : 865-346-6472
Fax Number : 865-312-8965
Provider Business Practice Location Address
First Line : 1400 DOWELL SPRINGS BLVD STE 330
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2445
Country : US
Telephone Number : 865-346-6472
Fax Number : 865-312-8965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 11/10/2024

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Directions to “ KRYSTAL TRENCHFIELD WOOLMAN PA-C” Practice Location

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