Christenberry, Kenneth William

Christenberry, Kenneth William is an individual health care provider with primary practice located at 1318 W Clinch Ave , Knoxville TN 37916-2612. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Christenberry, Kenneth William can be contacted 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:
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Health care specialties

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

Profile Details

NPI number 1780783860
LBN Legal business name Christenberry, Kenneth William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1780783860 NPPES
Tennessee MEDICAID 3375360

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