Revitalist, Llc

LBN: Revitalist, Llc
Revitalist, Llc is an health care organization with primary practice located at 10608 Flickenger Ln , Knoxville TN 37922-3485. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Revitalist, Llc can be contacted via phone (865) 392-6262, or through Walker, Kathryn via phone (865) 392-6262.

Contact Information

Primary practice address
10608 Flickenger Ln Knoxville TN 37922-3485
Phone: (865) 392-6262
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Kathryn Certified Registered Nurse Anesthetist (CRNA)
Phone: (865) 392-6262

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1073168241
LBN Legal business name Revitalist, Llc
DBA Doing business as
Authorized official Walker, Kathryn Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2019
Last updated Mar 14th, 2022 - about 3 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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