Gannon, Karen Rene
Gannon, Karen Rene is an individual health care provider with primary practice located at 9031 Cross Park Dr , Knoxville TN 37923-4602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gannon, Karen Rene can be contacted via phone (865) 545-4592.Contact Information
Primary practice address
9031 Cross Park Dr
Knoxville TN 37923-4602
Phone: (865) 545-4592
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | P2460 | Tennessee |
Profile Details
| NPI number | 1548269236 |
|---|---|
| LBN Legal business name | Gannon, Karen Rene |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Mar 7th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548269236 | NPPES |
| Tennessee | MEDICAID | 3585339 |
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