Delk, Kevin Shayne

Delk, Kevin Shayne is an individual health care provider with primary practice located at 1420 Tusculum Blvd , Greeneville TN 37745-4279. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Delk, Kevin Shayne can be contacted via phone (423) 787-5021.

Contact Information

Primary practice address
1420 Tusculum Blvd Greeneville TN 37745-4279
Phone: (423) 787-5021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 49680 Tennessee

Profile Details

NPI number 1588838718
LBN Legal business name Delk, Kevin Shayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Oct 13th, 2016 - about 9 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 1588838718 NPPES
Tennessee MEDICAID Q006161
Tennessee MEDICAID 1531702

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