Provider Demographics
NPI:1235474206
Name:KNOX COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:KNOX COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:865-215-5950
Mailing Address - Street 1:1028 OLD CEDAR BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-2283
Mailing Address - Country:US
Mailing Address - Phone:865-215-5950
Mailing Address - Fax:865-215-5959
Practice Address - Street 1:1028 OLD CEDAR BLUFF RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-2283
Practice Address - Country:US
Practice Address - Phone:865-215-5950
Practice Address - Fax:865-215-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000061663251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare