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1154167666
KSP HEALTH - TN LLC
KNOXVILLE, TN
NPI
1154167666
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Entity Type
Organization
Authorized Contact
MUTHUKUMAR VELLAICHAMY
Sole Member
316-516-2853
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-07-03
Last Update Date
2024-07-03
Business Address
KSP HEALTH - TN LLC
116 AGNES RD STE 200
KNOXVILLE, TN 37919-6306
Phone number: 316-516-2853
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Mailing Address
KSP HEALTH - TN LLC
6446 E CENTRAL AVE STE 183
WICHITA, KS 67206-1923
Phone number: 316-516-2853
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