MEDICARE: KARIE A. MCLEVAIN-WELLS M.D.

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
1	208000000X	Pediatrics Physician	32216	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1639163462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIE A. MCLEVAIN-WELLS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15004
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37901-5004
Country	:	US
Telephone Number	:	865-541-8895
Fax Number	:	865-633-4808

Provider Business Practice Location Address
First Line	:	224 S PETERS RD STE 105
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-5207
Country	:	US
Telephone Number	:	865-470-8844
Fax Number	:	866-479-4403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	01/09/2023

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