Greene, Kandenna

Greene, Kandenna is an individual health care provider with primary practice located at 7211 Wellington Dr Suite 102, Knoxville TN 37919-5968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Greene, Kandenna can be contacted via phone (865) 584-4747.

Contact Information

Primary practice address
7211 Wellington Dr Suite 102 Knoxville TN 37919-5968
Phone: (865) 584-4747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9178981 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6927 Tennessee

Profile Details

NPI number 1679547343
LBN Legal business name Greene, Kandenna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 12th, 2013 - about 11 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 1679547343 NPPES
Tennessee Other 4266367 BCBS OF TN
Tennessee MEDICAID 7100119550 BCBS OF TN
Tennessee MEDICAID 305467500 BCBS OF TN
Tennessee MEDICAID 1520790 BCBS OF TN
Tennessee Other P00896718 BCBS OF TN

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