Christenberry Clinic, Pc

LBN: Christenberry Clinic, Pc
Christenberry Clinic, Pc is an health care organization with primary practice located at 1318 W Clinch Ave , Knoxville TN 37916-2612. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Christenberry Clinic, Pc can be contacted via phone (865) 522-5155, or through Christenberry, Kenneth William via phone (865) 522-5155.

Contact Information

Primary practice address
1318 W Clinch Ave Knoxville TN 37916-2612
Phone: (865) 522-5155
Fax: (865) 522-5157
Website:
Map and Directions
Authorized official contact:
Name: Christenberry, Kenneth William Doctor of Medicine (MD)
Phone: (865) 522-5155

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD5549 Tennessee

Profile Details

NPI number 1629268925
LBN Legal business name Christenberry Clinic, Pc
DBA Doing business as
Authorized official Christenberry, Kenneth William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629268925 NPPES
Tennessee MEDICAID 3375360

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