Ksp Health - Tn LLC

NPI #1154167666 in Knoxville, Tennessee

Provider Information

NPI Number: 1154167666
Entity Type: Organization
Organization Name: Ksp Health - Tn LLC
Subpart: Yes (part of a larger organization)
Parent Organization: KSP HEALTH - TN LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 3, 2024
Last Updated: Jul 3, 2024

Practice Location

Address: 116 AGNES RD STE 200
City: Knoxville
State: Tennessee
ZIP Code: 37919-6306
Phone: (316) 516-2853

Authorized Official

Name: MR. MUTHUKUMAR VELLAICHAMY, MD
Title: SOLE MEMBER
Phone: (316) 516-2853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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