Provider Demographics
NPI:1821323924
Name:THE SUNFLOWER CLINIC
Entity Type:Organization
Organization Name:THE SUNFLOWER CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:KILE
Authorized Official - Last Name:VINEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSN, CEN, FNP-BC
Authorized Official - Phone:865-805-5531
Mailing Address - Street 1:730 COLONY VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-7125
Mailing Address - Country:US
Mailing Address - Phone:865-805-5531
Mailing Address - Fax:
Practice Address - Street 1:730 COLONY VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-7125
Practice Address - Country:US
Practice Address - Phone:865-805-5531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care