Provider Demographics
NPI:1295892263
Name:STRIKE, WILLIAM KENNETH (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:KENNETH
Last Name:STRIKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6402
Mailing Address - Country:US
Mailing Address - Phone:865-481-1871
Mailing Address - Fax:865-481-1873
Practice Address - Street 1:102 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6402
Practice Address - Country:US
Practice Address - Phone:865-481-1871
Practice Address - Fax:865-481-1873
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN252452085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G34395Medicare UPIN