Provider Demographics
NPI:1588632699
Name:BELL, WILLIAM KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENNETH
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 E LAMAR ALEXANDER PKWY
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5001
Mailing Address - Country:US
Mailing Address - Phone:865-984-0900
Mailing Address - Fax:865-984-1035
Practice Address - Street 1:827 LAMAR ALEXANDER PKWY
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37802
Practice Address - Country:US
Practice Address - Phone:865-984-0900
Practice Address - Fax:865-984-1035
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD10232207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3189139Medicaid
TN3071393OtherBLUE CROSS BLUE SHIELD
TN200030073OtherRAILROAD MEDICARE
TN4249536OtherAETNA
TN1193067OtherUNITED HEALTH CARE
TN100010870OtherTENNCARE
TNTN0182OtherJOHN DEERE HEALTHCARE
TNTN0135OtherJOHN DEERE HEALTHCARE
TN3071393OtherBLUE CROSS BLUE SHIELD
TN1193067OtherUNITED HEALTH CARE
TNTN0135OtherJOHN DEERE HEALTHCARE
TN3189139Medicaid