Bielak, Kenneth Michael

Bielak, Kenneth Michael is an individual health care provider with primary practice located at 1924 Alcoa Hwy Graduate School Of Medicine 1St Floor, Knoxville TN 37920-1511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bielak, Kenneth Michael can be contacted via phone (864) 305-9350.

Contact Information

Primary practice address
1924 Alcoa Hwy Graduate School Of Medicine 1St Floor Knoxville TN 37920-1511
Phone: (864) 305-9350
Fax: (865) 305-8681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24731 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024731 Tennessee

Profile Details

NPI number 1861459836
LBN Legal business name Bielak, Kenneth Michael
Credentials MD, ABFP, MA, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861459836 NPPES
Tennessee Other 3373352 MEDICARE GRP UFP
Tennessee Other 5106119 MEDICARE GRP UFP
Tennessee Other 1689631137 MEDICARE GRP UFP
Tennessee Other 3373352 MEDICARE GRP UFP
Tennessee Other 100010518 MEDICARE GRP UFP
Tennessee MEDICAID 3079423 MEDICARE GRP UFP
Tennessee Other 01-41248 MEDICARE GRP UFP
Tennessee Other 110129782 MEDICARE GRP UFP
Tennessee Other 3023732 MEDICARE GRP UFP
Tennessee Other 5164017 MEDICARE GRP UFP
Tennessee Other TN0155 MEDICARE GRP UFP

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